CLIA lab

CLIA 24D2324071: Northern Pines Wellness, PLLC

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

CLIA number 24D2324071 belongs to Northern Pines Wellness, PLLC in Cambridge, MN.

Certificate of Waiver, effective May 19, 2025, expires May 18, 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
May 19, 2025
Certificate expiration
May 18, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
May 19, 2025
Facility type
Other practitioner
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
24D2324071
Lab name
Northern Pines Wellness, PLLC
Additional name
DBA Northern Pines Wellness
Address
141 2nd Avenue Sw-Suite 2, Cambridge, MN 55008
Phone
(763) 298-3900
Fax
(612) 474-9350

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.

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Related

Questions

What is the CLIA number for Northern Pines Wellness, PLLC in Cambridge?

24D2324071, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Northern Pines Wellness, PLLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2324071 expire?

The CMS file lists May 18, 2027 as the certificate expiration date; the certificate took effect May 19, 2025.

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