CLIA lab

CLIA 24D1047813: Ponemah Healthcare Center

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

CLIA number 24D1047813 belongs to Ponemah Healthcare Center in Ponemah, MN.

Certificate of Waiver, effective November 15, 2025, expires November 14, 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
November 15, 2025
Certificate expiration
November 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 15, 2005
Facility type
Hospital
Ownership (control type)
Government, federal
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
24D1047813
Lab name
Ponemah Healthcare Center
Address
19155 Nodin Street, Ponemah, MN 56666
Phone
(218) 679-0239
Fax
(218) 679-0186

Annual test volume the lab reported

Waived tests
2,000

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

Related

Questions

What is the CLIA number for Ponemah Healthcare Center in Ponemah?

24D1047813, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Ponemah Healthcare Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D1047813 expire?

The CMS file lists November 14, 2027 as the certificate expiration date; the certificate took effect November 15, 2025.

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