CLIA lab

CLIA 24D2332057: Headwaters Health

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

CLIA number 24D2332057 belongs to Headwaters Health in Fosston, MN.

Certificate of Waiver, effective October 14, 2025, expires October 13, 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
October 14, 2025
Certificate expiration
October 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 14, 2025
Facility type
Physician office
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
24D2332057
Lab name
Headwaters Health
Address
111 2nd St NE, Fosston, MN 56542
Phone
(218) 435-1111
Fax
(218) 435-1112

Annual test volume the lab reported

Waived tests
2,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Fosston, MN

Related

Questions

What is the CLIA number for Headwaters Health in Fosston?

24D2332057, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Headwaters Health hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2332057 expire?

The CMS file lists October 13, 2027 as the certificate expiration date; the certificate took effect October 14, 2025.

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