CLIA lab
CLIA 24D1048165: Essentia Health ST Mary's Pelican Rapids Clinic
Pelican Rapids, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1048165 belongs to Essentia Health ST Mary's Pelican Rapids Clinic in Pelican Rapids, MN.
Certificate of Waiver, effective November 22, 2025, expires November 21, 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 22, 2025
- Certificate expiration
- November 21, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 22, 2005
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 24D1048165
- Lab name
- Essentia Health ST Mary's Pelican Rapids Clinic
- Address
- 301 North Broadway, Pelican Rapids, MN 56572
- Phone
- (701) 364-8714
- Fax
- (701) 364-6113
Annual test volume the lab reported
- Waived tests
- 523
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Pelican Rapids, MN
- Jennie O Pelican RapidsCertificate of Waiver, Independent24D2246568
- Pelican Drug, IncCertificate of Waiver, Pharmacy24D2238095
- Pelican Valley Nursing HomeCertificate of Waiver, Skilled nursing or nursing facility24D0898860
- Riverfront ManorCertificate of Waiver, Assisted living facility24D2056573
- Riverfront on MainCertificate of Waiver, Skilled nursing or nursing facility24D0406483
- Sanford Clinic Pelican RapidsCertificate of Accreditation, Community clinic24D0406485
Related
Questions
What is the CLIA number for Essentia Health ST Mary's Pelican Rapids Clinic in Pelican Rapids?
24D1048165, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Essentia Health ST Mary's Pelican Rapids Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1048165 expire?
The CMS file lists November 21, 2027 as the certificate expiration date; the certificate took effect November 22, 2025.