CLIA lab
CLIA 24D1092565: Grand Itasca Clinic and Hospital Homecare
Grand Rapids, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1092565 belongs to Grand Itasca Clinic and Hospital Homecare in Grand Rapids, MN.
Certificate of Waiver, effective November 26, 2024, expires November 25, 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
- November 26, 2024
- Certificate expiration
- November 25, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 26, 2008
- Facility type
- Home health agency
- Ownership (control type)
- Other
- 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
- 24D1092565
- Lab name
- Grand Itasca Clinic and Hospital Homecare
- Address
- 1601 Golf Course Road, Grand Rapids, MN 55744
- Phone
- (218) 999-1055
- Fax
- (218) 999-1052
Annual test volume the lab reported
- Waived tests
- 450
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 Grand Itasca Clinic and Hospital Homecare in Grand Rapids?
24D1092565, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grand Itasca Clinic and Hospital Homecare hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1092565 expire?
The CMS file lists November 25, 2026 as the certificate expiration date; the certificate took effect November 26, 2024.