CLIA lab
CLIA 24D2348407: Divine House, Inc
Raymond, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2348407 belongs to Divine House, Inc in Raymond, 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
- 24D2348407
- Lab name
- Divine House, Inc
- Address
- 14050 40th St NE, Raymond, MN 56282
- Phone
- (320) 231-2738
- Fax
- (320) 441-2488
Annual test volume the lab reported
- Waived tests
- 12
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 Divine House, Inc in Raymond?
24D2348407, 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 24D2348407 expire?
The CMS file lists August 4, 2028 as the certificate expiration date; the certificate took effect August 5, 2026.