CLIA lab
CLIA 24D1040580: Sugar Brook Villa Inc
Cohasset, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1040580 belongs to Sugar Brook Villa Inc in Cohasset, MN.
Certificate of Waiver, effective May 12, 2025, expires May 11, 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
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
- May 12, 2025
- Certificate expiration
- May 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 12, 2005
- Facility type
- Other
- 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
- 24D1040580
- Lab name
- Sugar Brook Villa Inc
- Address
- 20868 Sugar Hills Road, Cohasset, MN 55721
- Phone
- (218) 326-5730
- Fax
- (218) 326-5713
Annual test volume the lab reported
- Waived tests
- 365
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Cohasset, MN
Related
Questions
What is the CLIA number for Sugar Brook Villa Inc in Cohasset?
24D1040580, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sugar Brook Villa Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1040580 expire?
The CMS file lists May 11, 2027 as the certificate expiration date; the certificate took effect May 12, 2025.