CLIA lab

CLIA 24D2196048: Divine House, Inc

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

CLIA number 24D2196048 belongs to Divine House, Inc in Little Falls, MN.

Certificate of Waiver, effective October 14, 2026, expires October 13, 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
October 14, 2026
Certificate expiration
October 13, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 14, 2020
Facility type
Other
Ownership (control type)
Proprietary
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
24D2196048
Lab name
Divine House, Inc
Address
21559 Jewel Road, Little Falls, MN 56345
Phone
(320) 231-2738
Fax
(320) 441-2106

Annual test volume the lab reported

Waived tests
1,500

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

Affiliated CLIA numbers

Other labs in Little Falls, MN

Related

Questions

What is the CLIA number for Divine House, Inc in Little Falls?

24D2196048, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Divine House, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2196048 expire?

The CMS file lists October 13, 2028 as the certificate expiration date; the certificate took effect October 14, 2026.

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