CLIA lab

CLIA 24D1040567: Goldpine Home

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

CLIA number 24D1040567 belongs to Goldpine Home in Bemidji, MN.

Certificate of Waiver, effective May 11, 2025, expires May 10, 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 11, 2025
Certificate expiration
May 10, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 11, 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
24D1040567
Lab name
Goldpine Home
Address
1700 30th St NW, Bemidji, MN 56601
Phone
(218) 444-4346

Annual test volume the lab reported

Waived tests
7,500

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

Other labs in Bemidji, MN

Related

Questions

What is the CLIA number for Goldpine Home in Bemidji?

24D1040567, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Goldpine Home hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D1040567 expire?

The CMS file lists May 10, 2027 as the certificate expiration date; the certificate took effect May 11, 2025.

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