CLIA lab
CLIA 24D0693792: Northern Itasca H C C LTC Unit
Bigfork, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D0693792 belongs to Northern Itasca H C C LTC Unit in Bigfork, 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 24, 1994
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Government, other
- 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
- 24D0693792
- Lab name
- Northern Itasca H C C LTC Unit
- Address
- 258 Pine Tree Dr, P O Box 258, Bigfork, MN 56628
- Phone
- (218) 743-3174
Annual test volume the lab reported
- Waived tests
- 5,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Bigfork Valley CommunitiesCMS Care Compare ratings for the facility at the same street address
Other labs in Bigfork, MN
Related
Questions
What is the CLIA number for Northern Itasca H C C LTC Unit in Bigfork?
24D0693792, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northern Itasca H C C LTC Unit hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D0693792 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.