CLIA lab

CLIA 24D0405854: Bethany on the Lake

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

CLIA number 24D0405854 belongs to Bethany on the Lake in Alexandria, MN.

Certificate of Waiver, effective September 1, 2026, expires August 31, 2028.

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
September 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 6, 1993
Facility type
Skilled nursing or nursing facility
Ownership (control type)
Religious affiliation
Lab classification
CLIA laboratory

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

Lab and contact

CLIA number
24D0405854
Lab name
Bethany on the Lake
Address
1020 Lark St, Alexandria, MN 56308
Phone
(320) 762-1567
Fax
(320) 759-6327

Annual test volume the lab reported

Waived tests
4,300

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

Care facility at this address

Other labs in Alexandria, MN

Related

Questions

What is the CLIA number for Bethany on the Lake in Alexandria?

24D0405854, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Bethany on the Lake hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D0405854 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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