CLIA lab
CLIA 24D2288457: Aspirus ST Luke's Diagnostic Imaging Moose Lake
Moose Lake, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2288457 belongs to Aspirus ST Luke's Diagnostic Imaging Moose Lake in Moose Lake, MN.
Certificate of Waiver, effective August 25, 2025, expires August 24, 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
- August 25, 2025
- Certificate expiration
- August 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 25, 2023
- Facility type
- Other
- 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
- 24D2288457
- Lab name
- Aspirus ST Luke's Diagnostic Imaging Moose Lake
- Additional name
- ST Luke's Plaza Suite 103
- Address
- 4791 County Road 10, Moose Lake, MN 55767
- Phone
- (218) 590-2111
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Moose Lake, MN
- Augustana Mercy Care CenterCertificate of Waiver, Skilled nursing or nursing facility24D2008435
- Essentia Health Moose LakeCertificate of Accreditation, Hospital24D0651464
- Gateway Family Health Clinic, LTDCertificate of Accreditation, Physician office24D0403786
- Kenwood PlaceCertificate of Waiver, Skilled nursing or nursing facility24D2007522
- Minnesota Correctional FacilityCertificate of Waiver, Ambulance24D1002313
- Minnesota Sex Offender ProgramCertificate of Waiver, Other24D0975545
- Moose Lake Community SchoolCertificate of Waiver, School or student health service24D2241825
- Moose Lake Eye CareCertificate of Waiver, Physician office24D2093833
- Northern Lakes Surgery Center LLCCertificate of Waiver, Ambulatory surgery center24D2264643
- Oakview Assisted Living FacilityCertificate of Waiver, Assisted living facility24D1049875
Related
Questions
What is the CLIA number for Aspirus ST Luke's Diagnostic Imaging Moose Lake in Moose Lake?
24D2288457, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Aspirus ST Luke's Diagnostic Imaging Moose Lake hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2288457 expire?
The CMS file lists August 24, 2027 as the certificate expiration date; the certificate took effect August 25, 2025.