CLIA lab
CLIA 24D0932680: Country Manor Extended Services
Sartell, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D0932680 belongs to Country Manor Extended Services in Sartell, MN.
Certificate of Waiver, effective August 26, 2025, expires August 25, 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
- August 26, 2025
- Certificate expiration
- August 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 26, 1997
- Facility type
- Home health agency
- Ownership (control type)
- 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
- 24D0932680
- Lab name
- Country Manor Extended Services
- Address
- 520 First Street Northeast, Sartell, MN 56377
- Phone
- (320) 253-3343
- Fax
- (320) 240-0244
Annual test volume the lab reported
- Waived tests
- 420
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Country Manor Extended ServicesCMS Care Compare ratings for the facility at the same street address
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- Chateau WatersCertificate of Waiver, Assisted living facility24D2230495
- Chateau Waters Memory CareCertificate of Waiver, Assisted living facility24D2333363
- Coborn's Pharmacy #2007Certificate of Waiver, Pharmacy24D2170289
- Coborn's Pharmacy #2032Certificate of Waiver, Pharmacy24D2173515
- Country Manor Assisted LivingCertificate of Waiver, Assisted living facility24D2166249
- Country Manor Campus LLCCertificate of Waiver, Skilled nursing or nursing facility24D0406036
- Edgewood SartellCertificate of Waiver, Assisted living facility24D1095326
Related
Questions
What is the CLIA number for Country Manor Extended Services in Sartell?
24D0932680, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Country Manor Extended Services hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D0932680 expire?
The CMS file lists August 25, 2027 as the certificate expiration date; the certificate took effect August 26, 2025.