CLIA lab
CLIA 24D2253563: Polk-Norman-Mahnomen Community Health Board
Crookston, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2253563 belongs to Polk-Norman-Mahnomen Community Health Board in Crookston, MN.
Certificate of Waiver, effective February 23, 2026, expires February 22, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- February 23, 2026
- Certificate expiration
- February 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 23, 2022
- Facility type
- Public health laboratory
- Ownership (control type)
- Government, county
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 24D2253563
- Lab name
- Polk-Norman-Mahnomen Community Health Board
- Address
- 816 Marin Ave Ste 125, Crookston, MN 56716
- Phone
- (218) 521-7779
- Fax
- (218) 281-7376
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Crookston, MN
- Alluma, IncCertificate of Waiver, Other24D2206811
- Altru Clinic - CrookstonCertificate of Waiver, Community clinic24D0406672
- Polk County Public HealthCertificate of Waiver, Home health agency24D0651738
- Red River Valley Juvenile CenterCertificate of Waiver, Other24D2345062
- Riverview Health LaboratoryCertificate of Accreditation, Hospital24D0663948
- The Summit Assisted LivingCertificate of Waiver, Assisted living facility24D2137289
- Thrifty White Drug #729Certificate of Waiver, Pharmacy24D2053975
- Tri-County Community CorrectionsCertificate of Waiver, Other24D2331754
- Tri-Valley Opportunity Council IncCertificate of Waiver, Other24D0893639
- University of Minnesota - Crookston StudentCertificate of Waiver, School or student health service24D0953990
Related
Questions
What is the CLIA number for Polk-Norman-Mahnomen Community Health Board in Crookston?
24D2253563, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Polk-Norman-Mahnomen Community Health Board hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2253563 expire?
The CMS file lists February 22, 2028 as the certificate expiration date; the certificate took effect February 23, 2026.