CLIA lab
CLIA 24D0864312: Good Samaritan Ambassador
New Hope, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D0864312 belongs to Good Samaritan Ambassador in New Hope, 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
- March 11, 1993
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Other
- 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
- 24D0864312
- Lab name
- Good Samaritan Ambassador
- Address
- 8100 Medicine Lake Road, New Hope, MN 55427
- Phone
- (763) 417-7130
- Fax
- (763) 417-7100
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Good Samaritan AmbassadorCMS Care Compare ratings for the facility at the same street address
Other labs in New Hope, MN
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- CSL Plasma, IncCertificate of Compliance, Other24D2115866
- Community Medical Services - New HopeCertificate of Waiver, Other24D2301309
- Cozy Baraka Home Care IncCertificate of Waiver, Assisted living facility24D2266750
- Dignity & Compassion Homes LLCCertificate of Waiver, Assisted living facility24D2278677
- Gentle Care Homes, IncCertificate of Waiver, Assisted living facility24D2214977
- Grand ST Paul CVS, LLC DBA Cvs/Pharmacy #4658Certificate of Waiver, Pharmacy24D2185889
- Healthstat Health Center - RobbinsdaleCertificate of Waiver, Other24D2024997
Related
Questions
What is the CLIA number for Good Samaritan Ambassador in New Hope?
24D0864312, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Good Samaritan Ambassador hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D0864312 expire?
The CMS file lists August 31, 2028 as the certificate expiration date; the certificate took effect September 1, 2026.