CLIA lab
CLIA 24D1029221: Grace Haven Assisted Living
Madison, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1029221 belongs to Grace Haven Assisted Living in Madison, MN.
Certificate of Waiver, effective March 29, 2026, expires March 28, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- March 29, 2026
- Certificate expiration
- March 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 12, 2004
- Facility type
- Assisted living facility
- Ownership (control type)
- Proprietary
- 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
- 24D1029221
- Lab name
- Grace Haven Assisted Living
- Address
- 301 East 3rd Street, Madison, MN 56256
- Phone
- (320) 321-4067
- Fax
- (320) 598-7558
Annual test volume the lab reported
- Waived tests
- 2,150
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Madison, MN
- Lac Qui Parle Clinic of MadisonCertificate for Provider-Performed Microscopy Procedures, Community clinic24D0683911
- Madison Healthcare ServicesCertificate of Compliance, Hospital24D0405516
- Madison Healthcare ServicesCertificate of Waiver, Skilled nursing or nursing facility24D0722448
- Madison Hospital (Nursing)Certificate of Waiver, Hospital24D0722117
- Madison Hospital Home CareCertificate of Waiver, Home health agency24D0722181
- Prairie Five Cac - HeadstartCertificate of Waiver, Other24D2167412
- Prairie Winds Senior and Assisted LivingCertificate of Waiver, Assisted living facility24D2304515
- Thrifty White Drug #755Certificate of Waiver, Pharmacy24D2054811
Related
Questions
What is the CLIA number for Grace Haven Assisted Living in Madison?
24D1029221, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grace Haven Assisted Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1029221 expire?
The CMS file lists March 28, 2028 as the certificate expiration date; the certificate took effect March 29, 2026.