CLIA lab
CLIA 24D2249432: Pine River Group Home, Inc
Pine River, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2249432 belongs to Pine River Group Home, Inc in Pine River, MN.
Certificate of Waiver, effective January 20, 2026, expires January 19, 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
- January 20, 2026
- Certificate expiration
- January 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 20, 2022
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- Ownership (control type)
- Private
- 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
- 24D2249432
- Lab name
- Pine River Group Home, Inc
- Address
- 103 5th St, Pine River, MN 56474
- Phone
- (218) 587-4888
- Fax
- (218) 587-4366
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.
Other labs in Pine River, MN
- Brookside Assisted LivingCertificate of Waiver, Assisted living facility24D2040148
- Central Minnesota Dermatology PACertificate for Provider-Performed Microscopy Procedures, Physician office24D2222681
- 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
Related
Questions
What is the CLIA number for Pine River Group Home, Inc in Pine River?
24D2249432, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pine River Group Home, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2249432 expire?
The CMS file lists January 19, 2028 as the certificate expiration date; the certificate took effect January 20, 2026.