CLIA lab
CLIA 24D0682150: Essentia Health ST Josephs - Pequot Lakes Clinic
Pequot Lakes, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D0682150 belongs to Essentia Health ST Josephs - Pequot Lakes Clinic in Pequot Lakes, MN.
Certificate of Waiver, effective September 8, 2025, expires September 7, 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
- September 8, 2025
- Certificate expiration
- September 7, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 23, 1992
- Facility type
- Physician office
- 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
- 24D0682150
- Lab name
- Essentia Health ST Josephs - Pequot Lakes Clinic
- Address
- 4317 W Woodman St, Pequot Lakes, MN 56472
- Phone
- (218) 568-4416
- Fax
- (218) 568-4625
Annual test volume the lab reported
- Waived tests
- 1,143
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Pequot Lakes, MN
Related
Questions
What is the CLIA number for Essentia Health ST Josephs - Pequot Lakes Clinic in Pequot Lakes?
24D0682150, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Essentia Health ST Josephs - Pequot Lakes Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D0682150 expire?
The CMS file lists September 7, 2027 as the certificate expiration date; the certificate took effect September 8, 2025.