CLIA lab
CLIA 24D2039072: Eden Vista Pine Haven
Pine Island, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2039072 belongs to Eden Vista Pine Haven in Pine Island, MN.
Certificate of Waiver, effective March 30, 2026, expires March 29, 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 30, 2026
- Certificate expiration
- March 29, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 30, 2012
- Facility type
- Assisted living facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 24D2039072
- Lab name
- Eden Vista Pine Haven
- Address
- 220 3rd St NW, Pine Island, MN 55963
- Phone
- (507) 356-8304
Annual test volume the lab reported
- Waived tests
- 4,600
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Pine Island, MN
Related
Questions
What is the CLIA number for Eden Vista Pine Haven in Pine Island?
24D2039072, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Eden Vista Pine Haven hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2039072 expire?
The CMS file lists March 29, 2028 as the certificate expiration date; the certificate took effect March 30, 2026.