CLIA lab

CLIA 24D0688130: Good Samaritan Society Waconia

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

CLIA number 24D0688130 belongs to Good Samaritan Society Waconia in Waconia, 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
January 11, 1993
Facility type
Skilled nursing or nursing facility
Ownership (control type)
Religious affiliation
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
24D0688130
Lab name
Good Samaritan Society Waconia
Address
333 West 5th Street, Waconia, MN 55387
Phone
(952) 442-5111
Fax
(952) 442-6170

Annual test volume the lab reported

Waived tests
100

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

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Related

Questions

What is the CLIA number for Good Samaritan Society Waconia in Waconia?

24D0688130, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Good Samaritan Society Waconia hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D0688130 expire?

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

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