CLIA lab

CLIA 24D1057526: Holly Ridge Manor

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

CLIA number 24D1057526 belongs to Holly Ridge Manor in Starbuck, MN.

Certificate of Waiver, effective August 15, 2026, expires August 14, 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
August 15, 2026
Certificate expiration
August 14, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 15, 2006
Facility type
Assisted living facility
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
24D1057526
Lab name
Holly Ridge Manor
Address
500 Holly Ridge Drive, Starbuck, MN 56381
Phone
(320) 239-4775
Fax
(320) 239-2339

Annual test volume the lab reported

Waived tests
3,500

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

Other labs in Starbuck, MN

Related

Questions

What is the CLIA number for Holly Ridge Manor in Starbuck?

24D1057526, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Holly Ridge Manor hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D1057526 expire?

The CMS file lists August 14, 2028 as the certificate expiration date; the certificate took effect August 15, 2026.

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