CLIA lab

CLIA 24D0669792: Good Samaritan Village

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

CLIA number 24D0669792 belongs to Good Samaritan Village in Pipestone, 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
February 4, 1993
Facility type
Skilled nursing or nursing facility
Ownership (control type)
Private
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
24D0669792
Lab name
Good Samaritan Village
Address
1311 N Hiawatha Ave, Pipestone, MN 56164
Phone
(507) 825-5428

Annual test volume the lab reported

Waived tests
800

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

Other labs in Pipestone, MN

Related

Questions

What is the CLIA number for Good Samaritan Village in Pipestone?

24D0669792, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Good Samaritan Village hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D0669792 expire?

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

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