CLIA lab

CLIA 24D1068643: Copper Glen Assisted Living

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

CLIA number 24D1068643 belongs to Copper Glen Assisted Living in Montevideo, MN.

Certificate of Waiver, effective May 17, 2025, expires May 16, 2027.

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
May 17, 2025
Certificate expiration
May 16, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 17, 2007
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
24D1068643
Lab name
Copper Glen Assisted Living
Address
801 North 13th Street, Montevideo, MN 56265
Phone
(320) 269-9668
Fax
(320) 269-8246

Annual test volume the lab reported

Waived tests
800

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

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Related

Questions

What is the CLIA number for Copper Glen Assisted Living in Montevideo?

24D1068643, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Copper Glen Assisted Living hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D1068643 expire?

The CMS file lists May 16, 2027 as the certificate expiration date; the certificate took effect May 17, 2025.

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