CLIA lab
CLIA 24D0406580: Sanford Bemidji Cass Lake Clinic
Cass Lake, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D0406580 belongs to Sanford Bemidji Cass Lake Clinic in Cass Lake, MN.
Certificate of Waiver, effective September 1, 2025, expires August 31, 2027.
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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- September 1, 2025
- Certificate expiration
- August 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Community clinic
- Ownership (control type)
- Private
- 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
- 24D0406580
- Lab name
- Sanford Bemidji Cass Lake Clinic
- Address
- 219 Grant Utley Avenue, Cass Lake, MN 56633
- Phone
- (218) 335-2559
- Fax
- (218) 335-2755
Annual test volume the lab reported
- Waived tests
- 551
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Cass Lake, MN
- Cass Lake Dialysis FacilityCertificate of Waiver, End stage renal disease dialysis facility24D0902194
- Cass Lake PHS Indian HospitalCertificate of Accreditation, Hospital24D0651725
- Leech Lake Band of Ojibwe Health DivisionCertificate of Waiver, Federally qualified health center24D0677641
- Leech Lake Ems/Ambulance ServiceCertificate of Waiver, Ambulance24D1032371
- Red Cedar Assisted Living CenterCertificate of Waiver, Assisted living facility24D2168455
Related
Questions
What is the CLIA number for Sanford Bemidji Cass Lake Clinic in Cass Lake?
24D0406580, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sanford Bemidji Cass Lake Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D0406580 expire?
The CMS file lists August 31, 2027 as the certificate expiration date; the certificate took effect September 1, 2025.