CLIA lab
CLIA 24D1059380: Edgewood Hermantown Senior Living
Hermantown, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1059380 belongs to Edgewood Hermantown Senior Living in Hermantown, MN.
Certificate of Waiver, effective September 28, 2026, expires September 27, 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
- September 28, 2026
- Certificate expiration
- September 27, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 28, 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
- 24D1059380
- Lab name
- Edgewood Hermantown Senior Living
- Address
- 4125 Westberg Road, Hermantown, MN 55811
- Phone
- (218) 723-8905
- Fax
- (218) 723-4051
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Hermantown, MN
- Aspirus ST Lukes Hermantown ClinicCertificate of Accreditation, Physician office24D0913585
- Caringedge Healthcare of Hermantown LLCCertificate of Waiver, Home health agency24D2162080
- Caringedge Hospice of HermantownCertificate of Waiver, Hospice24D2157245
- Compassionate Quality PsychiatryCertificate of Waiver, Community clinic24D2278674
- Edgewood Hermantown IICertificate of Waiver, Assisted living facility24D1034577
- Essentia Health Hermantown ClinicCertificate of Waiver, Physician office24D0669702
- Fresenius Kidney Care Miller HillCertificate of Waiver, End stage renal disease dialysis facility24D0984478
- Relf Eyecare SpecialistsCertificate of Waiver, Physician office24D2074999
- Sam's Pharmacy 10-6320Certificate of Waiver, Pharmacy24D2100927
- The Pillars of HermantownCertificate of Waiver, Assisted living facility24D2298155
Related
Questions
What is the CLIA number for Edgewood Hermantown Senior Living in Hermantown?
24D1059380, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Edgewood Hermantown Senior Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1059380 expire?
The CMS file lists September 27, 2028 as the certificate expiration date; the certificate took effect September 28, 2026.