CLIA lab
CLIA 24D2066964: Our Lady of Guadalupe Free Clinic
Worthington, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2066964 belongs to Our Lady of Guadalupe Free Clinic in Worthington, MN.
Certificate of Waiver, effective October 7, 2025, expires October 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
- October 7, 2025
- Certificate expiration
- October 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 7, 2013
- Facility type
- Community clinic
- Ownership (control type)
- Private
- 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
- 24D2066964
- Lab name
- Our Lady of Guadalupe Free Clinic
- Address
- 921 4th Ave #11, Worthington, MN 56187
- Phone
- (507) 329-2123
Annual test volume the lab reported
- Waived tests
- 550
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Hy-VeeCertificate of Waiver, Pharmacy24D2027744
- JBS Swift Pork Company WorthingtonCertificate of Waiver, Industrial24D2206674
- Merck Animal Health Worthington OnsiteCertificate of Waiver, Other24D2242217
- Nobles County JailCertificate of Waiver, Prison24D2214254
- Sanford Worthington ClinicCertificate of Compliance, Community clinic24D0947884
- Sanford Worthington Medical CenterCertificate of Compliance, Hospital24D0405365
- Smoc Health ServicesCertificate of Waiver, Other24D0405362
Related
Questions
What is the CLIA number for Our Lady of Guadalupe Free Clinic in Worthington?
24D2066964, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Our Lady of Guadalupe Free Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2066964 expire?
The CMS file lists October 6, 2027 as the certificate expiration date; the certificate took effect October 7, 2025.