CLIA lab

CLIA 24D0402328: Covenant Living of Golden Valley -

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

CLIA number 24D0402328 belongs to Covenant Living of Golden Valley - in Golden Valley, MN.

Certificate of Waiver, effective September 1, 2026, expires August 31, 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
September 1, 2026
Certificate expiration
August 31, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 6, 1993
Facility type
Skilled nursing or nursing facility
Ownership (control type)
Religious affiliation
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
24D0402328
Lab name
Covenant Living of Golden Valley -
Additional name
Care and Rehabilitation Center
Address
5825 St Croix Ave North, Golden Valley, MN 55422
Phone
(763) 544-1555

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 Golden Valley, MN

Related

Questions

What is the CLIA number for Covenant Living of Golden Valley - in Golden Valley?

24D0402328, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Covenant Living of Golden Valley - hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D0402328 expire?

The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.

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