CLIA lab

CLIA 24D1002313: Minnesota Correctional Facility

Moose Lake, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 24D1002313 belongs to Minnesota Correctional Facility in Moose Lake, MN.

Certificate of Waiver, effective August 5, 2026, expires August 4, 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

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
August 5, 2026
Certificate expiration
August 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 5, 2002
Facility type
Ambulance
Ownership (control type)
Government, 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
24D1002313
Lab name
Minnesota Correctional Facility
Additional name
Willow River/Moose Lake
Address
1000 Lakeshore Drive, Moose Lake, MN 55767
Phone
(218) 485-5055
Fax
(218) 485-5008

Annual test volume the lab reported

Waived tests
3,100

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Moose Lake, MN

Related

Questions

What is the CLIA number for Minnesota Correctional Facility in Moose Lake?

24D1002313, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Minnesota Correctional Facility hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D1002313 expire?

The CMS file lists August 4, 2028 as the certificate expiration date; the certificate took effect August 5, 2026.

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