CLIA lab

CLIA 24D1040608: South Grove Lodge Senior Living

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

CLIA number 24D1040608 belongs to South Grove Lodge Senior Living in Austin, 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
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
24D1040608
Lab name
South Grove Lodge Senior Living
Address
1701 22nd Ave SW, Austin, MN 55912
Phone
(507) 434-0600
Fax
(507) 434-0041

Annual test volume the lab reported

Waived tests
5,000

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

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Questions

What is the CLIA number for South Grove Lodge Senior Living in Austin?

24D1040608, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does South Grove Lodge Senior Living hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D1040608 expire?

The CMS file lists May 11, 2027 as the certificate expiration date; the certificate took effect May 12, 2025.

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