CLIA lab
CLIA 24D2063648: Essentia Health ST Mary's - Mahnomen Clinic
Mahnomen, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2063648 belongs to Essentia Health ST Mary's - Mahnomen Clinic in Mahnomen, MN.
Certificate of Waiver, effective August 7, 2025, expires August 6, 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
- August 7, 2025
- Certificate expiration
- August 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 7, 2013
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 24D2063648
- Lab name
- Essentia Health ST Mary's - Mahnomen Clinic
- Address
- 117 North Main Street, Mahnomen, MN 56557
- Phone
- (701) 364-8714
- Fax
- (701) 364-6113
Annual test volume the lab reported
- Waived tests
- 682
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Mahnomen, MN
- Mahnomen Health CenterCertificate of Compliance, Hospital24D0406402
- Mahnomen Health Center - Nursing HomeCertificate of Waiver, Skilled nursing or nursing facility24D2189629
- Sanford Health Mahnomen ClinicCertificate of Waiver, Community clinic24D0726258
- Thrifty White Pharmacy #752Certificate of Waiver, Pharmacy24D2054863
- White Earth Ihs Nayt SatelliteCertificate of Waiver, Other24D0669267
Related
Questions
What is the CLIA number for Essentia Health ST Mary's - Mahnomen Clinic in Mahnomen?
24D2063648, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Essentia Health ST Mary's - Mahnomen Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2063648 expire?
The CMS file lists August 6, 2027 as the certificate expiration date; the certificate took effect August 7, 2025.