CLIA lab
CLIA 24D2309672: Essentia Health ST. Mary's-Lake Park Clinic
Lake Park, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2309672 belongs to Essentia Health ST. Mary's-Lake Park Clinic in Lake Park, MN.
Certificate of Waiver, effective August 20, 2026, expires August 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
- August 20, 2026
- Certificate expiration
- August 19, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 20, 2024
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 24D2309672
- Lab name
- Essentia Health ST. Mary's-Lake Park Clinic
- Address
- 1005 1st St, Lake Park, MN 56554
- Phone
- (701) 364-8715
- Fax
- (218) 732-2803
Annual test volume the lab reported
- Waived tests
- 20
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Lake Park, MN
Related
Questions
What is the CLIA number for Essentia Health ST. Mary's-Lake Park Clinic in Lake Park?
24D2309672, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Essentia Health ST. Mary's-Lake Park Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2309672 expire?
The CMS file lists August 19, 2028 as the certificate expiration date; the certificate took effect August 20, 2026.