CLIA lab
CLIA 24D2339153: Fourth Avenue Homes Inc
Willmar, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2339153 belongs to Fourth Avenue Homes Inc in Willmar, MN.
Certificate of Waiver, effective February 24, 2026, expires February 23, 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 24, 2026
- Certificate expiration
- February 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 24, 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
- 24D2339153
- Lab name
- Fourth Avenue Homes Inc
- Address
- 317 Vos Park Dr NW, Willmar, MN 56201
- Phone
- (320) 441-7004
- Fax
- (320) 441-7014
Annual test volume the lab reported
- Waived tests
- 2,880
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Willmar, MN
- Bethesda Assisted LivingCertificate of Waiver, Assisted living facility24D2104545
- Bethesda Care CenterCertificate of Waiver, Skilled nursing or nursing facility24D0664620
- Bethesda Home HealthCertificate of Waiver, Home health agency24D0883074
- Brookdale WillmarCertificate of Waiver, Other24D1026917
- Carris Health, LLCCertificate of Accreditation, Hospital24D0405426
- Cash Wise Pharmacy #3004Certificate of Waiver, Pharmacy24D1102168
- Centracare HospiceCertificate of Waiver, Hospice24D2284398
- Centracare Willmar Main Clinic DermatologyCertificate of Compliance, Other24D2213829
- Centracare Willmar Surgery CenterCertificate of Waiver, Ambulatory surgery center24D0405434
- Centracare-Willmar ClinicCertificate of Accreditation, Physician office24D0405388
Related
Questions
What is the CLIA number for Fourth Avenue Homes Inc in Willmar?
24D2339153, 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 24D2339153 expire?
The CMS file lists February 23, 2028 as the certificate expiration date; the certificate took effect February 24, 2026.