CLIA lab
CLIA 24D2124620: Prairie Pines Community
Fosston, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2124620 belongs to Prairie Pines Community in Fosston, MN.
Certificate of Waiver, effective January 23, 2025, expires January 22, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 23, 2025
- Certificate expiration
- January 22, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 23, 2017
- Facility type
- Assisted living facility
- 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
- 24D2124620
- Lab name
- Prairie Pines Community
- Address
- 903 Prairie Pines Drive, Fosston, MN 56542
- Phone
- (218) 435-1337
- Fax
- (218) 435-1336
Annual test volume the lab reported
- Waived tests
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Fosston, MN
- Bethany Assisted LivingCertificate of Waiver, Assisted living facility24D2115876
- Cornerstone Residence FosstonCertificate of Waiver, Assisted living facility24D1090457
- Essentia Health FosstonCertificate of Accreditation, Hospital24D0676729
- Fosston Pharmacy & Gifts, Inc / DBACertificate of Waiver, Pharmacy24D2163202
- Headwaters HealthCertificate of Waiver, Physician office24D2332057
- Midway Care CenterCertificate of Waiver, Assisted living facility24D0667611
Related
Questions
What is the CLIA number for Prairie Pines Community in Fosston?
24D2124620, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prairie Pines Community hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2124620 expire?
The CMS file lists January 22, 2027 as the certificate expiration date; the certificate took effect January 23, 2025.