CLIA lab
CLIA 24D0991511: Good Samaritan Society - the Pines
Jackson, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D0991511 belongs to Good Samaritan Society - the Pines in Jackson, MN.
Certificate of Waiver, effective September 21, 2025, expires September 20, 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 21, 2025
- Certificate expiration
- September 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 21, 2001
- Facility type
- Assisted living facility
- Ownership (control type)
- Religious affiliation
- 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
- 24D0991511
- Lab name
- Good Samaritan Society - the Pines
- Address
- 1508 N Hwy, Jackson, MN 56143
- Phone
- (507) 847-5762
- Fax
- (507) 847-1157
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Jackson, MN
- Good Samaritan Society - JacksonCertificate of Waiver, Skilled nursing or nursing facility24D0663725
- Jackson County JailCertificate of Waiver, Other24D2260482
- Sanford Clinic JacksonCertificate of Waiver, Rural health clinic24D1048712
- Sanford Jackson Medical CenterCertificate of Compliance, Hospital24D0405238
- Work Well Concepts LLCCertificate of Waiver, Other24D2234009
Related
Questions
What is the CLIA number for Good Samaritan Society - the Pines in Jackson?
24D0991511, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Good Samaritan Society - the Pines hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D0991511 expire?
The CMS file lists September 20, 2027 as the certificate expiration date; the certificate took effect September 21, 2025.