CLIA lab
CLIA 24D1053625: Mill Street Residence
Fergus Falls, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1053625 belongs to Mill Street Residence in Fergus Falls, MN.
Certificate of Waiver, effective April 30, 2026, expires April 29, 2028.
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
- April 30, 2026
- Certificate expiration
- April 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 30, 2006
- Facility type
- Home health agency
- Ownership (control type)
- Private
- 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
- 24D1053625
- Lab name
- Mill Street Residence
- Address
- 802 So Mill Street, Fergus Falls, MN 56537
- Phone
- (218) 739-2900
- Fax
- (218) 739-2192
Annual test volume the lab reported
- Waived tests
- 280
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fergus Falls, MN
- CK Home Health Care IncCertificate of Waiver, Home health agency24D1048699
- Fergus Falls CbocCertificate of Accreditation, Community clinic24D0999849
- Fergus Falls Dialysis CenterCertificate of Waiver, End stage renal disease dialysis facility24D0939050
- Goodneighbors - the Cottage, LLCCertificate of Waiver, Assisted living facility24D2269360
- Health Resources Lifecare CenterCertificate of Waiver, Other24D0981092
- Invision Eye CareCertificate of Waiver, Physician office24D2022125
- LB Broen HomeCertificate of Waiver, Skilled nursing or nursing facility24D0406332
- LB Home Care & LB HospiceCertificate of Waiver, Home health agency24D0973501
- Lake Region HealthcareCertificate of Accreditation, Hospital24D0406344
- Lake Region HealthcareCertificate of Waiver, Skilled nursing or nursing facility24D0663324
Related
Questions
What is the CLIA number for Mill Street Residence in Fergus Falls?
24D1053625, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mill Street Residence hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1053625 expire?
The CMS file lists April 29, 2028 as the certificate expiration date; the certificate took effect April 30, 2026.