CLIA lab

CLIA 24D2068579: Medicap Pharmacy #8523

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

CLIA number 24D2068579 belongs to Medicap Pharmacy #8523 in Paynesville, MN.

Certificate of Waiver, effective November 6, 2025, expires November 5, 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
November 6, 2025
Certificate expiration
November 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
November 6, 2013
Facility type
Pharmacy
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
24D2068579
Lab name
Medicap Pharmacy #8523
Address
216 Washburne Ave, Paynesville, MN 56362
Phone
(320) 243-3781
Fax
(320) 243-2005

Annual test volume the lab reported

Waived tests
30

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

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Related

Questions

What is the CLIA number for Medicap Pharmacy #8523 in Paynesville?

24D2068579, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Medicap Pharmacy #8523 hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2068579 expire?

The CMS file lists November 5, 2027 as the certificate expiration date; the certificate took effect November 6, 2025.

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