CLIA lab

CLIA 24D2246568: Jennie O Pelican Rapids

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

CLIA number 24D2246568 belongs to Jennie O Pelican Rapids in Pelican Rapids, MN.

Certificate of Waiver, effective December 28, 2025, expires December 27, 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 28, 2025
Certificate expiration
December 27, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 28, 2021
Facility type
Independent
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
24D2246568
Lab name
Jennie O Pelican Rapids
Address
704 N Broadway, Pelican Rapids, MN 56572
Phone
(218) 234-1127

Annual test volume the lab reported

Waived tests
50

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

Other labs in Pelican Rapids, MN

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Questions

What is the CLIA number for Jennie O Pelican Rapids in Pelican Rapids?

24D2246568, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jennie O Pelican Rapids hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2246568 expire?

The CMS file lists December 27, 2027 as the certificate expiration date; the certificate took effect December 28, 2025.

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