CLIA lab

CLIA 24D0405271: Sanford Health - Mountain Lake Clinic

Mountain Lake, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 24D0405271 belongs to Sanford Health - Mountain Lake Clinic in Mountain Lake, MN.

Certificate of Waiver, effective December 10, 2024, expires December 9, 2026.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
December 10, 2024
Certificate expiration
December 9, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
September 1, 1992
Facility type
Rural health clinic
Ownership (control type)
Other
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
24D0405271
Lab name
Sanford Health - Mountain Lake Clinic
Address
308 North 8th Street, Mountain Lake, MN 56159
Phone
(507) 427-3332
Fax
(507) 427-2493

Annual test volume the lab reported

Waived tests
250

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Mountain Lake, MN

Related

Questions

What is the CLIA number for Sanford Health - Mountain Lake Clinic in Mountain Lake?

24D0405271, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Sanford Health - Mountain Lake Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D0405271 expire?

The CMS file lists December 9, 2026 as the certificate expiration date; the certificate took effect December 10, 2024.

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