CLIA lab
CLIA 24D2167412: Prairie Five Cac - Headstart
Madison, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2167412 belongs to Prairie Five Cac - Headstart in Madison, MN.
Certificate of Waiver, effective June 7, 2025, expires June 6, 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
- June 7, 2025
- Certificate expiration
- June 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 7, 2019
- Facility type
- Other
- Ownership (control type)
- Other
- 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
- 24D2167412
- Lab name
- Prairie Five Cac - Headstart
- Address
- 422 5th Avenue Suite 307, Madison, MN 56256
- Phone
- (320) 598-3118
- Fax
- (844) 273-2299
Annual test volume the lab reported
- Waived tests
- 75
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Lac Qui Parle Clinic of MadisonCertificate for Provider-Performed Microscopy Procedures, Community clinic24D0683911
- Madison Healthcare ServicesCertificate of Compliance, Hospital24D0405516
- Madison Healthcare ServicesCertificate of Waiver, Skilled nursing or nursing facility24D0722448
- Madison Hospital (Nursing)Certificate of Waiver, Hospital24D0722117
- Madison Hospital Home CareCertificate of Waiver, Home health agency24D0722181
- Prairie Winds Senior and Assisted LivingCertificate of Waiver, Assisted living facility24D2304515
- Thrifty White Drug #755Certificate of Waiver, Pharmacy24D2054811
Related
Questions
What is the CLIA number for Prairie Five Cac - Headstart in Madison?
24D2167412, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prairie Five Cac - Headstart hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2167412 expire?
The CMS file lists June 6, 2027 as the certificate expiration date; the certificate took effect June 7, 2025.