CLIA lab

CLIA 24D2348384: Divine House, Inc

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

CLIA number 24D2348384 belongs to Divine House, Inc in Kandiyohi, MN.

Certificate of Waiver, effective August 5, 2026, expires August 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
August 5, 2026
Certificate expiration
August 4, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 5, 2026
Facility type
Other
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
24D2348384
Lab name
Divine House, Inc
Address
6030 15th Ave NE, Kandiyohi, MN 56251
Phone
(320) 231-2738
Fax
(320) 441-2488

Annual test volume the lab reported

Waived tests
365

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

Other labs in Kandiyohi, MN

Related

Questions

What is the CLIA number for Divine House, Inc in Kandiyohi?

24D2348384, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Divine House, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2348384 expire?

The CMS file lists August 4, 2028 as the certificate expiration date; the certificate took effect August 5, 2026.

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