CLIA lab
CLIA 24D1036514: Brookstone Manor
Grand Rapids, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1036514 belongs to Brookstone Manor in Grand Rapids, MN.
Certificate of Waiver, effective February 4, 2025, expires February 3, 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
- February 4, 2025
- Certificate expiration
- February 3, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 4, 2005
- 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
- 24D1036514
- Lab name
- Brookstone Manor
- Address
- 722 N Pokegama Ave, Grand Rapids, MN 55744
- Phone
- (218) 999-7672
- Fax
- (218) 327-6013
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Emeralds at Grand Rapids, theCertificate of Waiver, Assisted living facility24D2069861
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Related
Questions
What is the CLIA number for Brookstone Manor in Grand Rapids?
24D1036514, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Brookstone Manor hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1036514 expire?
The CMS file lists February 3, 2027 as the certificate expiration date; the certificate took effect February 4, 2025.