CLIA lab

CLIA 24D0716060: Northside Medical Clinic

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

CLIA number 24D0716060 belongs to Northside Medical Clinic in Ortonville, MN.

Certificate of Waiver, effective December 15, 2025, expires December 14, 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
December 15, 2025
Certificate expiration
December 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 20, 1993
Facility type
Physician office
Ownership (control type)
Government, city
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
24D0716060
Lab name
Northside Medical Clinic
Address
465 Eastvold Avenue, Ortonville, MN 56278
Phone
(320) 839-6157
Fax
(320) 839-3851

Annual test volume the lab reported

Waived tests
1,000

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

Affiliated CLIA numbers

Other labs in Ortonville, MN

Related

Questions

What is the CLIA number for Northside Medical Clinic in Ortonville?

24D0716060, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Northside Medical Clinic hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D0716060 expire?

The CMS file lists December 14, 2027 as the certificate expiration date; the certificate took effect December 15, 2025.

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