CLIA lab
CLIA 24D0965486: City of Chisholm Ambulance Service
Chisholm, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D0965486 belongs to City of Chisholm Ambulance Service in Chisholm, MN.
Certificate of Waiver, effective September 22, 2025, expires September 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
- September 22, 2025
- Certificate expiration
- September 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 22, 1999
- Facility type
- Ambulance
- Ownership (control type)
- Government, city
- 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
- 24D0965486
- Lab name
- City of Chisholm Ambulance Service
- Address
- 329 1st St NW, Chisholm, MN 55719
- Phone
- (218) 254-7902
- Fax
- (218) 254-7955
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.
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- Heritage Manor Health Care CenterCertificate of Waiver, Skilled nursing or nursing facility24D0403613
- Isd #695 Vaughan Steffensrud SchoolCertificate of Waiver, School or student health service24D2235990
- Range Center IncCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities24D1106358
- Serving HartCertificate of Waiver, Assisted living facility24D1082382
Related
Questions
What is the CLIA number for City of Chisholm Ambulance Service in Chisholm?
24D0965486, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does City of Chisholm Ambulance Service hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D0965486 expire?
The CMS file lists September 21, 2027 as the certificate expiration date; the certificate took effect September 22, 2025.