CLIA lab
CLIA 24D2058229: Good Samaritan Society-Riverside Assisted Living
Pine River, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2058229 belongs to Good Samaritan Society-Riverside Assisted Living in Pine River, MN.
Certificate of Waiver, effective May 2, 2025, expires May 1, 2027.
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 2, 2025
- Certificate expiration
- May 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 2, 2013
- Facility type
- Assisted living facility
- Ownership (control type)
- Religious affiliation
- 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
- 24D2058229
- Lab name
- Good Samaritan Society-Riverside Assisted Living
- Address
- 2175 White Pine Rd SW, Pine River, MN 56474
- Phone
- (218) 587-4333
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Pine River, MN
- Brookside Assisted LivingCertificate of Waiver, Assisted living facility24D2040148
- Central Minnesota Dermatology PACertificate for Provider-Performed Microscopy Procedures, Physician office24D2222681
- Essentia Health ST Josephs - Pine River ClinicCertificate of Waiver, Community clinic24D0682149
- Guidepoint Pharmacy #115Certificate of Waiver, Pharmacy24D2189368
- Pine River Group Home, IncCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities24D2249432
Related
Questions
What is the CLIA number for Good Samaritan Society-Riverside Assisted Living in Pine River?
24D2058229, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Good Samaritan Society-Riverside Assisted Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2058229 expire?
The CMS file lists May 1, 2027 as the certificate expiration date; the certificate took effect May 2, 2025.