CLIA lab

CLIA 24D2040148: Brookside Assisted Living

Pine River, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 24D2040148 belongs to Brookside Assisted Living in Pine River, MN.

Certificate of Waiver, effective April 24, 2026, expires April 23, 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 24, 2026
Certificate expiration
April 23, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 24, 2012
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
24D2040148
Lab name
Brookside Assisted Living
Address
2729 State 371 NW, Pine River, MN 56474
Phone
(218) 587-3304
Fax
(218) 309-1799

Annual test volume the lab reported

Waived tests
80

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

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Questions

What is the CLIA number for Brookside Assisted Living in Pine River?

24D2040148, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Brookside Assisted Living hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2040148 expire?

The CMS file lists April 23, 2028 as the certificate expiration date; the certificate took effect April 24, 2026.

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