CLIA lab

CLIA 24D0715528: Homeward Bound Inc Maple Grove

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

CLIA number 24D0715528 belongs to Homeward Bound Inc Maple Grove in Maple Grove, 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 28, 1993
Facility type
Intermediate care facility for individuals with intellectual disabilities
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
24D0715528
Lab name
Homeward Bound Inc Maple Grove
Address
6769 E Fish Lake Road, Maple Grove, MN 55369
Phone
(763) 746-4830
Fax
(763) 525-4084

Annual test volume the lab reported

Waived tests
200

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

Affiliated CLIA numbers

Other labs in Maple Grove, MN

Related

Questions

What is the CLIA number for Homeward Bound Inc Maple Grove in Maple Grove?

24D0715528, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Homeward Bound Inc Maple Grove hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D0715528 expire?

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

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