CLIA lab
CLIA 24D2338130: Fourth Avenue Homes, Inc
Kerkhoven, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2338130 belongs to Fourth Avenue Homes, Inc in Kerkhoven, MN.
Certificate of Waiver, effective February 5, 2026, expires February 4, 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
- February 5, 2026
- Certificate expiration
- February 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 5, 2026
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 24D2338130
- Lab name
- Fourth Avenue Homes, Inc
- Address
- 5015 130th Ave NE, Kerkhoven, MN 56252
- Phone
- (320) 441-7004
- Fax
- (320) 441-7014
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.
Affiliated CLIA numbers
Other labs in Kerkhoven, MN
Related
Questions
What is the CLIA number for Fourth Avenue Homes, Inc in Kerkhoven?
24D2338130, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fourth Avenue Homes, Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2338130 expire?
The CMS file lists February 4, 2028 as the certificate expiration date; the certificate took effect February 5, 2026.