CLIA lab
CLIA 24D1035154: Northern Pines Assisted Living With Dementia Care
Pine City, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1035154 belongs to Northern Pines Assisted Living With Dementia Care in Pine City, MN.
Certificate of Waiver, effective December 21, 2024, expires December 20, 2026.
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
- December 21, 2024
- Certificate expiration
- December 20, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 21, 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
- 24D1035154
- Lab name
- Northern Pines Assisted Living With Dementia Care
- Address
- 1305 8th Street SW, Pine City, MN 55063
- Phone
- (320) 629-7272
- Fax
- (320) 629-5388
Annual test volume the lab reported
- Waived tests
- 400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Pine City, MN
- Meadow CreekCertificate of Waiver, Other24D2056596
- Pine County JailCertificate of Waiver, Other24D2218161
- Pine County PhnsCertificate of Waiver, Community clinic24D0651178
- Pregnancy Resource Center of Pine CityCertificate of Waiver, Other24D2335691
- Selah Wellness Clinic LLCCertificate of Waiver, Other practitioner24D2313654
- Sophie's Manor Assisted Living, IncCertificate of Waiver, Assisted living facility24D1063961
- Walker Methodist - Timber PinesCertificate of Waiver, Assisted living facility24D2281941
- Walmart Pharmacy 10-2367Certificate of Waiver, Pharmacy24D2153852
- Welia Health Pine CityCertificate of Accreditation, Rural health clinic24D0398438
Related
Questions
What is the CLIA number for Northern Pines Assisted Living With Dementia Care in Pine City?
24D1035154, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Northern Pines Assisted Living With Dementia Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1035154 expire?
The CMS file lists December 20, 2026 as the certificate expiration date; the certificate took effect December 21, 2024.