CLIA lab
CLIA 24D2165090: The Lodge at Stillwater, LLC DBA the Lodge
Stillwater, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2165090 belongs to The Lodge at Stillwater, LLC DBA the Lodge in Stillwater, MN.
Certificate of Waiver, effective April 19, 2025, expires April 18, 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
- April 19, 2025
- Certificate expiration
- April 18, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 19, 2019
- Facility type
- Assisted living facility
- Ownership (control type)
- Private
- 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
- 24D2165090
- Lab name
- The Lodge at Stillwater, LLC DBA the Lodge
- Address
- 107 Bridgewater Way, Stillwater, MN 55082
- Phone
- (651) 439-8200
Annual test volume the lab reported
- Waived tests
- 5,840
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Associated Eye CareCertificate of Waiver, Ambulatory surgery center24D1054548
- Associated Eye CareCertificate of Waiver, Physician office24D2031084
- Bluestone Physician Services, PACertificate of Waiver, Other24D2082638
- Cedar RidgeCertificate of Waiver, Other24D2052656
- Cub Pharmacy #1612Certificate of Waiver, Pharmacy24D1067454
- Elevated Assisted Living, LLCCertificate of Waiver, Assisted living facility24D2167403
- Healthpartners Greeley Onc POCTCertificate of Waiver, Physician office24D2315677
Related
Questions
What is the CLIA number for The Lodge at Stillwater, LLC DBA the Lodge in Stillwater?
24D2165090, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does The Lodge at Stillwater, LLC DBA the Lodge hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2165090 expire?
The CMS file lists April 18, 2027 as the certificate expiration date; the certificate took effect April 19, 2025.