CLIA lab
CLIA 24D1040587: Lakeside Manor
Duluth, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1040587 belongs to Lakeside Manor in Duluth, 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
- 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
- 24D1040587
- Lab name
- Lakeside Manor
- Address
- 4831 London Road, Duluth, MN 55804
- Phone
- (218) 525-2784
- Fax
- (218) 525-3411
Annual test volume the lab reported
- Waived tests
- 7,852
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Duluth, MN
- Amity Creek Primary CareCertificate of Waiver, Physician office24D2341766
- Arrowhead Regional Corrections AjcCertificate for Provider-Performed Microscopy Procedures, Other24D0880189
- Arrowhead Surgery CenterCertificate of Waiver, Ambulatory surgery center24D2278627
- Aspirus ST Luke's Clinic - DuluthCertificate for Provider-Performed Microscopy Procedures, Physician office24D0403901
- Aspirus ST Luke's Clinic DuluthCertificate of Waiver, Physician office24D2271361
- Aspirus ST Luke's DermatologyCertificate of Compliance, Physician office24D0953747
- Aspirus ST Luke's Duluth Surgery CenterCertificate of Waiver, Ambulatory surgery center24D0980654
- Aspirus ST Luke's Duluth UrologyCertificate for Provider-Performed Microscopy Procedures, Physician office24D1020495
- Aspirus ST Luke's PediatricCertificate of Waiver, Physician office24D2252446
- Aspirus ST Lukes Clinic DuluthCertificate of Waiver, Physician office24D0663393
Related
Questions
What is the CLIA number for Lakeside Manor in Duluth?
24D1040587, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lakeside Manor hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1040587 expire?
The CMS file lists May 11, 2027 as the certificate expiration date; the certificate took effect May 12, 2025.