CLIA lab
CLIA 24D0717350: Fairfax Medical Clinic
Fairfax, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D0717350 belongs to Fairfax Medical Clinic in Fairfax, MN.
Certificate of Waiver, effective January 22, 2025, expires January 21, 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
- January 22, 2025
- Certificate expiration
- January 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- 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
- 24D0717350
- Lab name
- Fairfax Medical Clinic
- Address
- 300 South Park Street, Box 529, Fairfax, MN 55332
- Phone
- (507) 426-7228
Annual test volume the lab reported
- Waived tests
- 330
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fairfax, MN
Related
Questions
What is the CLIA number for Fairfax Medical Clinic in Fairfax?
24D0717350, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fairfax Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D0717350 expire?
The CMS file lists January 21, 2027 as the certificate expiration date; the certificate took effect January 22, 2025.