CLIA lab
CLIA 24D2050105: Blaine White Pine
Blaine, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2050105 belongs to Blaine White Pine in Blaine, MN.
Certificate of Waiver, effective November 20, 2024, expires November 19, 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 20, 2024
- Certificate expiration
- November 19, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 20, 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
- 24D2050105
- Lab name
- Blaine White Pine
- Address
- 12446 Jamestown Street NE, Blaine, MN 55449
- Phone
- (763) 754-1985
- Fax
- (763) 754-1933
Annual test volume the lab reported
- Waived tests
- 3,441
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Blaine, MN
- Adequate Home Care LLCCertificate of Waiver, Assisted living facility24D2189175
- Allina Health Blaine ClinicCertificate of Waiver, Community clinic24D1097783
- American Current Care of Minnesota, PACertificate of Waiver, Physician office24D2126808
- Ascendcare Home Health Solutions LLCCertificate of Waiver, Home health agency24D2315230
- Associated Skin Care SpecialistsCertificate for Provider-Performed Microscopy Procedures, Physician office24D0680318
- Blaine ASC LLCCertificate of Waiver, Ambulatory surgery center24D2147126
- Blaine Eye ClinicCertificate of Waiver, Physician office24D2228198
- Blaine Health Services LLCCertificate of Waiver, Assisted living facility24D2330930
- Blaine WP II, LLCCertificate of Waiver, Assisted living facility24D2097108
- Calvary Assisted LivingCertificate of Waiver, Assisted living facility24D2305258
Related
Questions
What is the CLIA number for Blaine White Pine in Blaine?
24D2050105, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Blaine White Pine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2050105 expire?
The CMS file lists November 19, 2026 as the certificate expiration date; the certificate took effect November 20, 2024.