CLIA lab
CLIA 24D2189629: Mahnomen Health Center - Nursing Home
Mahnomen, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2189629 belongs to Mahnomen Health Center - Nursing Home in Mahnomen, MN.
Certificate of Waiver, effective August 4, 2026, expires August 3, 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
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
- August 4, 2026
- Certificate expiration
- August 3, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 4, 2020
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Government, county
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 24D2189629
- Lab name
- Mahnomen Health Center - Nursing Home
- Address
- 414 West Jefferson Avenue, Mahnomen, MN 56557
- Phone
- (218) 935-2511
- Fax
- (218) 935-2370
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Mahnomen Health CenterCMS Care Compare ratings for the facility at the same street address
Affiliated CLIA numbers
Other labs in Mahnomen, MN
- Essentia Health ST Mary's - Mahnomen ClinicCertificate of Waiver, Physician office24D2063648
- Mahnomen Health CenterCertificate of Compliance, Hospital24D0406402
- Sanford Health Mahnomen ClinicCertificate of Waiver, Community clinic24D0726258
- Thrifty White Pharmacy #752Certificate of Waiver, Pharmacy24D2054863
- White Earth Ihs Nayt SatelliteCertificate of Waiver, Other24D0669267
Related
Questions
What is the CLIA number for Mahnomen Health Center - Nursing Home in Mahnomen?
24D2189629, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mahnomen Health Center - Nursing Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2189629 expire?
The CMS file lists August 3, 2028 as the certificate expiration date; the certificate took effect August 4, 2026.