CLIA lab

CLIA 24D0695665: Maplewood Good Samaritan

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

CLIA number 24D0695665 belongs to Maplewood Good Samaritan in Maplewood, 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
December 30, 1992
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
24D0695665
Lab name
Maplewood Good Samaritan
Address
550 Roselawn Ave East, Maplewood, MN 55117
Phone
(651) 774-9765
Fax
(651) 793-3353

Care facility at this address

Other labs in Maplewood, MN

Related

Questions

What is the CLIA number for Maplewood Good Samaritan in Maplewood?

24D0695665, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Maplewood Good Samaritan hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D0695665 expire?

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

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