CLIA lab
CLIA 24D1040607: Good Samaritan Homecare & Hospice
Nisswa, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1040607 belongs to Good Samaritan Homecare & Hospice in Nisswa, 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
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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
- Home health agency
- Ownership (control type)
- Other
- 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
- 24D1040607
- Lab name
- Good Samaritan Homecare & Hospice
- Address
- 24090 Smiley Road Suite 200, Nisswa, MN 56468
- Phone
- (218) 963-9452
- Fax
- (218) 963-9746
Annual test volume the lab reported
- Waived tests
- 60
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Good Samaritan Home HealthCMS Care Compare ratings for the facility at the same street address
Other labs in Nisswa, MN
Related
Questions
What is the CLIA number for Good Samaritan Homecare & Hospice in Nisswa?
24D1040607, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Good Samaritan Homecare & Hospice hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1040607 expire?
The CMS file lists May 11, 2027 as the certificate expiration date; the certificate took effect May 12, 2025.