CLIA lab
CLIA 24D0902194: Cass Lake Dialysis Facility
Cass Lake, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D0902194 belongs to Cass Lake Dialysis Facility in Cass Lake, MN.
Certificate of Waiver, effective June 14, 2025, expires June 13, 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
- June 14, 2025
- Certificate expiration
- June 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 14, 1995
- Facility type
- End stage renal disease dialysis facility
- 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
- 24D0902194
- Lab name
- Cass Lake Dialysis Facility
- Address
- 602 3rd Street NW, Cass Lake, MN 56633
- Phone
- (218) 335-4095
- Fax
- (218) 335-4188
Annual test volume the lab reported
- Waived tests
- 8,242
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Cass Lake DialysisCMS Care Compare ratings for the facility at the same street address
Other labs in Cass Lake, MN
- Cass Lake PHS Indian HospitalCertificate of Accreditation, Hospital24D0651725
- Leech Lake Band of Ojibwe Health DivisionCertificate of Waiver, Federally qualified health center24D0677641
- Leech Lake Ems/Ambulance ServiceCertificate of Waiver, Ambulance24D1032371
- Red Cedar Assisted Living CenterCertificate of Waiver, Assisted living facility24D2168455
- Sanford Bemidji Cass Lake ClinicCertificate of Waiver, Community clinic24D0406580
Related
Questions
What is the CLIA number for Cass Lake Dialysis Facility in Cass Lake?
24D0902194, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Cass Lake Dialysis Facility hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D0902194 expire?
The CMS file lists June 13, 2027 as the certificate expiration date; the certificate took effect June 14, 2025.