CLIA lab
CLIA 24D2196134: Divine House, Inc
Moorhead, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2196134 belongs to Divine House, Inc in Moorhead, MN.
Certificate of Waiver, effective October 15, 2026, expires October 14, 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 15, 2026
- Certificate expiration
- October 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 15, 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
- 24D2196134
- Lab name
- Divine House, Inc
- Address
- 1132 28th Ave S Ste 105A, Moorhead, MN 56560
- Phone
- (320) 231-2738
- Fax
- (320) 441-2106
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.
Affiliated CLIA numbers
Other labs in Moorhead, MN
- Arbor Park Living CenterCertificate of Waiver, Assisted living facility24D2075273
- Arbor Park Living CenterCertificate of Waiver, Assisted living facility24D2178799
- Beehive Homes of MoorheadCertificate of Waiver, Assisted living facility24D2166991
- Biolife Plasma Services LPCertificate of Compliance, Other24D1082804
- Biomat USA, IncCertificate of Accreditation, Other24D1078973
- Cash Wise Pharmacy #3015Certificate of Waiver, Pharmacy24D2033662
- Clay County JailCertificate of Waiver, Other24D2221677
- Clay County Public HealthCertificate of Waiver, Other24D0406435
- Community Health Service IncCertificate of Waiver, Federally qualified health center24D0696410
- Daisy Home Care, LLCCertificate of Waiver, Home health agency24D2321247
Related
Questions
What is the CLIA number for Divine House, Inc in Moorhead?
24D2196134, 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 24D2196134 expire?
The CMS file lists October 14, 2028 as the certificate expiration date; the certificate took effect October 15, 2026.