CLIA lab

CLIA 24D2246865: Boulder Creek

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

CLIA number 24D2246865 belongs to Boulder Creek in Marshall, MN.

Certificate of Waiver, effective December 30, 2025, expires December 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 of Waiver
Certificate effective
December 30, 2025
Certificate expiration
December 29, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
December 30, 2021
Facility type
Assisted living facility
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
24D2246865
Lab name
Boulder Creek
Address
604 Village Drive, Marshall, MN 56258
Phone
(507) 929-1234
Fax
(507) 401-3607

Annual test volume the lab reported

Waived tests
1,000

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

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Related

Questions

What is the CLIA number for Boulder Creek in Marshall?

24D2246865, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Boulder Creek hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2246865 expire?

The CMS file lists December 29, 2027 as the certificate expiration date; the certificate took effect December 30, 2025.

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