CLIA lab
CLIA 24D1028389: Johnson Memorial Assisted Living
Dawson, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1028389 belongs to Johnson Memorial Assisted Living in Dawson, MN.
Certificate of Waiver, effective July 23, 2026, expires July 22, 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
- July 23, 2026
- Certificate expiration
- July 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 23, 2004
- Facility type
- Assisted living facility
- 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
- 24D1028389
- Lab name
- Johnson Memorial Assisted Living
- Address
- Attn Kris Jacobson 1282 Walnut Street, Dawson, MN 56232
- Phone
- (320) 769-2144
Annual test volume the lab reported
- Waived tests
- 1,460
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Dawson, MN
- Dawson ClinicCertificate of Waiver, Rural health clinic24D2126883
- Divine House Inc 2Certificate of Waiver, Intermediate care facility for individuals with intellectual disabilities24D1067426
- Facing New Horizons, Inc.Certificate of Waiver, Other24D2349141
- Facing New Horizons, Inc.Certificate of Waiver, Other24D2349142
- Facing New Horizons, Inc.Certificate of Waiver, Other24D2349149
- Facing New Horizons, Inc.Certificate of Waiver, Other24D2349151
- Johnson Memorial Ambulance ServicesCertificate of Waiver, Ambulance24D1078057
- Johnson Memorial Care CenterCertificate of Waiver, Skilled nursing or nursing facility24D0698564
- Johnson Memorial Health ServicesCertificate of Compliance, Hospital24D0668316
- Johnson Memorial Health ServicesCertificate of Waiver, Hospital24D0695740
Related
Questions
What is the CLIA number for Johnson Memorial Assisted Living in Dawson?
24D1028389, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Johnson Memorial Assisted Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1028389 expire?
The CMS file lists July 22, 2028 as the certificate expiration date; the certificate took effect July 23, 2026.