CLIA lab
CLIA 24D2222681: Central Minnesota Dermatology PA
Pine River, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2222681 belongs to Central Minnesota Dermatology PA in Pine River, MN.
Certificate for Provider-Performed Microscopy Procedures, effective April 30, 2025, expires April 29, 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 for Provider-Performed Microscopy Procedures
- Certificate effective
- April 30, 2025
- Certificate expiration
- April 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 30, 2021
- Facility type
- Physician office
- 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
- 24D2222681
- Lab name
- Central Minnesota Dermatology PA
- Address
- 415 Barclay Ave, Pine River, MN 56474
- Phone
- (218) 454-3376
- Fax
- (218) 454-4263
Annual test volume the lab reported
- Provider-performed microscopy tests
- 30
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Pine River, MN
- Brookside Assisted LivingCertificate of Waiver, Assisted living facility24D2040148
- Essentia Health ST Josephs - Pine River ClinicCertificate of Waiver, Community clinic24D0682149
- Good Samaritan Society-Riverside Assisted LivingCertificate of Waiver, Assisted living facility24D2058229
- Guidepoint Pharmacy #115Certificate of Waiver, Pharmacy24D2189368
- Pine River Group Home, IncCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities24D2249432
Related
Questions
What is the CLIA number for Central Minnesota Dermatology PA in Pine River?
24D2222681, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Central Minnesota Dermatology PA hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 24D2222681 expire?
The CMS file lists April 29, 2027 as the certificate expiration date; the certificate took effect April 30, 2025.