CLIA lab
CLIA 24D1062859: Good Samaritan Heritage Grove
East Grand Forks, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1062859 belongs to Good Samaritan Heritage Grove in East Grand Forks, MN.
Certificate of Waiver, effective December 28, 2024, expires December 27, 2026.
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
- December 28, 2024
- Certificate expiration
- December 27, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 28, 2006
- Facility type
- Assisted living facility
- Ownership (control type)
- Religious affiliation
- 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
- 24D1062859
- Lab name
- Good Samaritan Heritage Grove
- Address
- 2122 River Road NW, East Grand Forks, MN 56721
- Phone
- (218) 773-7484
Annual test volume the lab reported
- Waived tests
- 1,250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in East Grand Forks, MN
- Altru Clinic - East Grand ForksCertificate of Waiver, Ancillary test site24D2060080
- Douglas Place DBA Eosis Northern PlainsCertificate of Waiver, Other24D2077122
- Edgewood East Grand Forks Senior Living, LLCCertificate of Waiver, Assisted living facility24D1037013
- In Near Home Health LLCCertificate of Waiver, Home health agency24D2313682
- Sagent Behavioral Health East Grand ForksCertificate of Waiver, Comprehensive outpatient rehab facility24D2318443
- Sanford Clinic Egf 621 DemersCertificate of Accreditation, Rural health clinic24D0975548
- Sanford Health 929 Central Ave ClinicCertificate of Accreditation, Rural health clinic24D1052108
- Sanford Health Occupational Medicine ClinicCertificate of Waiver, Other24D2163788
- Walgreens 21377Certificate of Waiver, Pharmacy24D2288571
Related
Questions
What is the CLIA number for Good Samaritan Heritage Grove in East Grand Forks?
24D1062859, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Good Samaritan Heritage Grove hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1062859 expire?
The CMS file lists December 27, 2026 as the certificate expiration date; the certificate took effect December 28, 2024.