CLIA lab
CLIA 24D1083107: Autumn Grace II
Mankato, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1083107 belongs to Autumn Grace II in Mankato, MN.
Certificate of Waiver, effective April 25, 2026, expires April 24, 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
- April 25, 2026
- Certificate expiration
- April 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 25, 2008
- Facility type
- Assisted living facility
- Ownership (control type)
- Proprietary
- 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
- 24D1083107
- Lab name
- Autumn Grace II
- Address
- 110 Raven Court, Mankato, MN 56001
- Phone
- (507) 388-3660
Annual test volume the lab reported
- Waived tests
- 365
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Bridgewater at MankatoCertificate of Waiver, Assisted living facility24D2146301
- Brookdale MankatoCertificate of Waiver, Assisted living facility24D1026544
- Cottagewood Memory Care of MankatoCertificate of Waiver, Assisted living facility24D0929094
- Cub Pharmacy #1606Certificate of Waiver, Pharmacy24D1067495
- Cub Pharmacy #1653Certificate of Waiver, Pharmacy24D1067645
- Dialysis at Mankato ClinicCertificate of Waiver, End stage renal disease dialysis facility24D2048442
Related
Questions
What is the CLIA number for Autumn Grace II in Mankato?
24D1083107, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Autumn Grace II hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1083107 expire?
The CMS file lists April 24, 2028 as the certificate expiration date; the certificate took effect April 25, 2026.