CLIA lab

CLIA 24D2152339: Premise Health of Minnesota Medical, PC

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

CLIA number 24D2152339 belongs to Premise Health of Minnesota Medical, PC in Thief River Falls, MN.

Certificate of Waiver, effective August 8, 2026, expires August 7, 2028.

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 8, 2026
Certificate expiration
August 7, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 8, 2018
Facility type
Physician office
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
24D2152339
Lab name
Premise Health of Minnesota Medical, PC
Address
701 Brooks Ave South, Thief River Falls, MN 56701
Phone
(218) 681-7857
Fax
(218) 681-7983

Annual test volume the lab reported

Waived tests
500

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

Other labs in Thief River Falls, MN

Related

Questions

What is the CLIA number for Premise Health of Minnesota Medical, PC in Thief River Falls?

24D2152339, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Premise Health of Minnesota Medical, PC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2152339 expire?

The CMS file lists August 7, 2028 as the certificate expiration date; the certificate took effect August 8, 2026.

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