CLIA lab
CLIA 24D2139156: Providence Villa
Sebeka, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2139156 belongs to Providence Villa in Sebeka, MN.
Certificate of Waiver, effective October 31, 2025, expires October 30, 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 31, 2025
- Certificate expiration
- October 30, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 31, 2017
- Facility type
- Assisted living facility
- 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
- 24D2139156
- Lab name
- Providence Villa
- Address
- 200 Minnesota Ave East, Sebeka, MN 56477
- Phone
- (218) 837-5497
Annual test volume the lab reported
- Waived tests
- 365
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Sebeka, MN
Related
Questions
What is the CLIA number for Providence Villa in Sebeka?
24D2139156, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Villa hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2139156 expire?
The CMS file lists October 30, 2027 as the certificate expiration date; the certificate took effect October 31, 2025.