CLIA lab

CLIA 24D2250656: Jennie O Faribault

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

CLIA number 24D2250656 belongs to Jennie O Faribault in Faribault, MN.

Certificate of Waiver, effective January 28, 2026, expires January 27, 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 28, 2026
Certificate expiration
January 27, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
January 28, 2022
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
24D2250656
Lab name
Jennie O Faribault
Address
1116 4th Ave NW, Faribault, MN 55021
Phone
(507) 332-5338
Fax
(815) 669-0963

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.

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Related

Questions

What is the CLIA number for Jennie O Faribault in Faribault?

24D2250656, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Jennie O Faribault hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2250656 expire?

The CMS file lists January 27, 2028 as the certificate expiration date; the certificate took effect January 28, 2026.

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