CLIA lab
CLIA 24D1063961: Sophie's Manor Assisted Living, Inc
Pine City, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1063961 belongs to Sophie's Manor Assisted Living, Inc in Pine City, MN.
Certificate of Waiver, effective June 3, 2026, expires June 2, 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
- June 3, 2026
- Certificate expiration
- June 2, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 25, 2007
- Facility type
- Assisted living facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 24D1063961
- Lab name
- Sophie's Manor Assisted Living, Inc
- Address
- 17500 Ranch Drive, Pine City, MN 55063
- Phone
- (320) 629-2064
- Fax
- (320) 629-4918
Annual test volume the lab reported
- Waived tests
- 750
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Pine City, MN
- Meadow CreekCertificate of Waiver, Other24D2056596
- Northern Pines Assisted Living With Dementia CareCertificate of Waiver, Assisted living facility24D1035154
- Pine County JailCertificate of Waiver, Other24D2218161
- Pine County PhnsCertificate of Waiver, Community clinic24D0651178
- Pregnancy Resource Center of Pine CityCertificate of Waiver, Other24D2335691
- Selah Wellness Clinic LLCCertificate of Waiver, Other practitioner24D2313654
- Walker Methodist - Timber PinesCertificate of Waiver, Assisted living facility24D2281941
- Walmart Pharmacy 10-2367Certificate of Waiver, Pharmacy24D2153852
- Welia Health Pine CityCertificate of Accreditation, Rural health clinic24D0398438
Related
Questions
What is the CLIA number for Sophie's Manor Assisted Living, Inc in Pine City?
24D1063961, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sophie's Manor Assisted Living, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1063961 expire?
The CMS file lists June 2, 2028 as the certificate expiration date; the certificate took effect June 3, 2026.