CLIA lab
CLIA 24D0682149: Essentia Health ST Josephs - Pine River Clinic
Pine River, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D0682149 belongs to Essentia Health ST Josephs - Pine River Clinic in Pine River, MN.
Certificate of Waiver, effective October 1, 2025, expires September 30, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- October 1, 2025
- Certificate expiration
- September 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 23, 1992
- Facility type
- Community clinic
- Ownership (control type)
- Religious affiliation
- 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
- 24D0682149
- Lab name
- Essentia Health ST Josephs - Pine River Clinic
- Address
- 280 Barclay Ave W, Pine River, MN 56474
- Phone
- (218) 587-4416
- Fax
- (218) 587-2677
Annual test volume the lab reported
- Waived tests
- 2,477
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Pine River, MN
- Brookside Assisted LivingCertificate of Waiver, Assisted living facility24D2040148
- Central Minnesota Dermatology PACertificate for Provider-Performed Microscopy Procedures, Physician office24D2222681
- Good Samaritan Society-Riverside Assisted LivingCertificate of Waiver, Assisted living facility24D2058229
- Guidepoint Pharmacy #115Certificate of Waiver, Pharmacy24D2189368
- Pine River Group Home, IncCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities24D2249432
Related
Questions
What is the CLIA number for Essentia Health ST Josephs - Pine River Clinic in Pine River?
24D0682149, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Essentia Health ST Josephs - Pine River Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D0682149 expire?
The CMS file lists September 30, 2027 as the certificate expiration date; the certificate took effect October 1, 2025.