CLIA lab
CLIA 24D0406036: Country Manor Campus LLC
Sartell, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D0406036 belongs to Country Manor Campus LLC in Sartell, MN.
Certificate of Waiver, effective September 18, 2026, expires September 17, 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 18, 2026
- Certificate expiration
- September 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 12, 1993
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Proprietary
- 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
- 24D0406036
- Lab name
- Country Manor Campus LLC
- Additional name
- Country Manor Health Care and Rehab Center
- Address
- 520 - 1st St NE, Sartell, MN 56377
- Phone
- (320) 253-1920
- Fax
- (320) 253-2848
Annual test volume the lab reported
- Waived tests
- 8,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Chateau WatersCertificate of Waiver, Assisted living facility24D2230495
- Chateau Waters Memory CareCertificate of Waiver, Assisted living facility24D2333363
- Coborn's Pharmacy #2007Certificate of Waiver, Pharmacy24D2170289
- Coborn's Pharmacy #2032Certificate of Waiver, Pharmacy24D2173515
- Country Manor Assisted LivingCertificate of Waiver, Assisted living facility24D2166249
- Country Manor Extended ServicesCertificate of Waiver, Home health agency24D0932680
- Edgewood SartellCertificate of Waiver, Assisted living facility24D1095326
Related
Questions
What is the CLIA number for Country Manor Campus LLC in Sartell?
24D0406036, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Country Manor Campus LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D0406036 expire?
The CMS file lists September 17, 2028 as the certificate expiration date; the certificate took effect September 18, 2026.