CLIA lab
CLIA 24D2100927: Sam's Pharmacy 10-6320
Hermantown, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2100927 belongs to Sam's Pharmacy 10-6320 in Hermantown, MN.
Certificate of Waiver, effective August 25, 2025, expires August 24, 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 25, 2025
- Certificate expiration
- August 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 25, 2015
- 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
- 24D2100927
- Lab name
- Sam's Pharmacy 10-6320
- Address
- 4743 Maple Grove Road, Hermantown, MN 55811
- Phone
- (218) 279-2858
- Fax
- (218) 279-2860
Annual test volume the lab reported
- Waived tests
- 5,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Hermantown, MN
- Aspirus ST Lukes Hermantown ClinicCertificate of Accreditation, Physician office24D0913585
- Caringedge Healthcare of Hermantown LLCCertificate of Waiver, Home health agency24D2162080
- Caringedge Hospice of HermantownCertificate of Waiver, Hospice24D2157245
- Compassionate Quality PsychiatryCertificate of Waiver, Community clinic24D2278674
- Edgewood Hermantown IICertificate of Waiver, Assisted living facility24D1034577
- Edgewood Hermantown Senior LivingCertificate of Waiver, Home health agency24D1059380
- Essentia Health Hermantown ClinicCertificate of Waiver, Physician office24D0669702
- Fresenius Kidney Care Miller HillCertificate of Waiver, End stage renal disease dialysis facility24D0984478
- Relf Eyecare SpecialistsCertificate of Waiver, Physician office24D2074999
- The Pillars of HermantownCertificate of Waiver, Assisted living facility24D2298155
Related
Questions
What is the CLIA number for Sam's Pharmacy 10-6320 in Hermantown?
24D2100927, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Sam's Pharmacy 10-6320 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2100927 expire?
The CMS file lists August 24, 2027 as the certificate expiration date; the certificate took effect August 25, 2025.