CLIA lab
CLIA 24D2007522: Kenwood Place
Moose Lake, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2007522 belongs to Kenwood Place in Moose Lake, MN.
Certificate of Waiver, effective May 19, 2026, expires May 18, 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
- May 19, 2026
- Certificate expiration
- May 18, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 19, 2010
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Private
- 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
- 24D2007522
- Lab name
- Kenwood Place
- Address
- 4560 County Rd 61, Moose Lake, MN 55767
- Phone
- (218) 485-5629
Annual test volume the lab reported
- Waived tests
- 20
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Moose Lake, MN
- Aspirus ST Luke's Diagnostic Imaging Moose LakeCertificate of Waiver, Other24D2288457
- Augustana Mercy Care CenterCertificate of Waiver, Skilled nursing or nursing facility24D2008435
- Essentia Health Moose LakeCertificate of Accreditation, Hospital24D0651464
- Gateway Family Health Clinic, LTDCertificate of Accreditation, Physician office24D0403786
- Minnesota Correctional FacilityCertificate of Waiver, Ambulance24D1002313
- Minnesota Sex Offender ProgramCertificate of Waiver, Other24D0975545
- Moose Lake Community SchoolCertificate of Waiver, School or student health service24D2241825
- Moose Lake Eye CareCertificate of Waiver, Physician office24D2093833
- Northern Lakes Surgery Center LLCCertificate of Waiver, Ambulatory surgery center24D2264643
- Oakview Assisted Living FacilityCertificate of Waiver, Assisted living facility24D1049875
Related
Questions
What is the CLIA number for Kenwood Place in Moose Lake?
24D2007522, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Kenwood Place hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2007522 expire?
The CMS file lists May 18, 2028 as the certificate expiration date; the certificate took effect May 19, 2026.