CLIA lab

CLIA 24D1040148: Willow Creek Senior Community

Henning, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 24D1040148 belongs to Willow Creek Senior Community in Henning, MN.

Certificate of Waiver, effective May 2, 2025, expires May 1, 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
May 2, 2025
Certificate expiration
May 1, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 2, 2005
Facility type
Assisted living facility
Ownership (control type)
Religious affiliation
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
24D1040148
Lab name
Willow Creek Senior Community
Address
500 Willow Creek Drive, Henning, MN 56551
Phone
(218) 338-1001
Fax
(218) 260-4398

Annual test volume the lab reported

Waived tests
500

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Related

Questions

What is the CLIA number for Willow Creek Senior Community in Henning?

24D1040148, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Willow Creek Senior Community hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D1040148 expire?

The CMS file lists May 1, 2027 as the certificate expiration date; the certificate took effect May 2, 2025.

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