CLIA lab
CLIA 24D1016198: The Lodge of Mountain Lake
Mountain Lake, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1016198 belongs to The Lodge of Mountain Lake in Mountain Lake, MN.
Certificate of Waiver, effective August 22, 2025, expires August 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
- August 22, 2025
- Certificate expiration
- August 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 22, 2003
- Facility type
- Assisted living facility
- Ownership (control type)
- Private
- 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
- 24D1016198
- Lab name
- The Lodge of Mountain Lake
- Address
- 603 7th Avenue, Mountain Lake, MN 56159
- Phone
- (507) 427-2465
Annual test volume the lab reported
- Waived tests
- 8,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mountain Lake, MN
- Good Samaritan VillageCertificate of Waiver, Skilled nursing or nursing facility24D0664275
- Mountain Lake Pharmacy LLCCertificate of Waiver, Pharmacy24D2189091
- Sanford Health - Mountain Lake ClinicCertificate of Waiver, Rural health clinic24D0405271
- Sanford Laboratories - Mountain LakeCertificate of Accreditation, Independent24D1061124
Related
Questions
What is the CLIA number for The Lodge of Mountain Lake in Mountain Lake?
24D1016198, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does The Lodge of Mountain Lake hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1016198 expire?
The CMS file lists August 21, 2027 as the certificate expiration date; the certificate took effect August 22, 2025.