CLIA lab
CLIA 24D2005171: Tl-Dw Grand Rapids, LLC D/B/A Diamond Willow
Grand Rapids, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2005171 belongs to Tl-Dw Grand Rapids, LLC D/B/A Diamond Willow in Grand Rapids, MN.
Certificate of Waiver, effective March 22, 2026, expires March 21, 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
- March 22, 2026
- Certificate expiration
- March 21, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 22, 2010
- 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
- 24D2005171
- Lab name
- Tl-Dw Grand Rapids, LLC D/B/A Diamond Willow
- Address
- Eagle Pine Suites - 949 SW 11th Ave, Grand Rapids, MN 55744
- Phone
- (218) 625-2316
- Fax
- (218) 625-2338
Annual test volume the lab reported
- Waived tests
- 3,650
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 Tl-Dw Grand Rapids, LLC D/B/A Diamond Willow in Grand Rapids?
24D2005171, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Tl-Dw Grand Rapids, LLC D/B/A Diamond Willow hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2005171 expire?
The CMS file lists March 21, 2028 as the certificate expiration date; the certificate took effect March 22, 2026.