CLIA lab
CLIA 24D0726258: Sanford Health Mahnomen Clinic
Mahnomen, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D0726258 belongs to Sanford Health Mahnomen Clinic in Mahnomen, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
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
- May 14, 1993
- Facility type
- Community clinic
- Ownership (control type)
- Other
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 24D0726258
- Lab name
- Sanford Health Mahnomen Clinic
- Address
- 410 West 4th Street, Mahnomen, MN 56557
- Phone
- (218) 935-2514
- Fax
- (218) 935-2720
Annual test volume the lab reported
- Waived tests
- 480
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Mahnomen, MN
- Essentia Health ST Mary's - Mahnomen ClinicCertificate of Waiver, Physician office24D2063648
- Mahnomen Health CenterCertificate of Compliance, Hospital24D0406402
- Mahnomen Health Center - Nursing HomeCertificate of Waiver, Skilled nursing or nursing facility24D2189629
- Thrifty White Pharmacy #752Certificate of Waiver, Pharmacy24D2054863
- White Earth Ihs Nayt SatelliteCertificate of Waiver, Other24D0669267
Related
Questions
What is the CLIA number for Sanford Health Mahnomen Clinic in Mahnomen?
24D0726258, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sanford Health Mahnomen Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D0726258 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.