CLIA lab
CLIA 24D2245142: Fourth Avenue Homes, Inc
Owatonna, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2245142 belongs to Fourth Avenue Homes, Inc in Owatonna, MN.
Certificate of Waiver, effective December 9, 2025, expires December 8, 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
- December 9, 2025
- Certificate expiration
- December 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 9, 2021
- Facility type
- Other
- Ownership (control type)
- Proprietary
- 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
- 24D2245142
- Lab name
- Fourth Avenue Homes, Inc
- Address
- 1950 Diablo Drive SE, Owatonna, MN 55060
- Phone
- (320) 441-7004
- Fax
- (320) 441-7014
Annual test volume the lab reported
- Waived tests
- 250
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Beauterre Recovery Institute DBA BeauterreCertificate of Waiver, Other24D2090591
- Birchwood CottagesCertificate of Waiver, Assisted living facility24D2104916
- Birchwood CottagesCertificate of Waiver, Assisted living facility24D2174571
- Bridges Chiropractic Health ClinicCertificate of Waiver, Physician office24D2201165
- Bridgewater at OwatonnaCertificate of Waiver, Assisted living facility24D1091081
- Brooks on ST Paul, theCertificate of Waiver, Assisted living facility24D1020504
- Cash Wise Pharmacy #3014Certificate of Waiver, Pharmacy24D1101152
- Countryside Catered Senior LivingCertificate of Waiver, Other24D1075998
- Hy-Vee PharmacyCertificate of Waiver, Pharmacy24D1101057
- Kaplan Woods Care HomeCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities24D2004726
Related
Questions
What is the CLIA number for Fourth Avenue Homes, Inc in Owatonna?
24D2245142, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fourth Avenue Homes, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2245142 expire?
The CMS file lists December 8, 2027 as the certificate expiration date; the certificate took effect December 9, 2025.