CLIA lab

CLIA 24D1029222: Guardian Angels By the Lake

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

CLIA number 24D1029222 belongs to Guardian Angels By the Lake in Elk River, MN.

Certificate of Waiver, effective August 12, 2026, expires August 11, 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 12, 2026
Certificate expiration
August 11, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
August 12, 2004
Facility type
Assisted living facility
Ownership (control type)
Government, city
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
24D1029222
Lab name
Guardian Angels By the Lake
Address
13439 185th Lane NW, Elk River, MN 55330
Phone
(763) 241-7682
Fax
(763) 274-1349

Annual test volume the lab reported

Waived tests
16,060

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

Other labs in Elk River, MN

Related

Questions

What is the CLIA number for Guardian Angels By the Lake in Elk River?

24D1029222, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Guardian Angels By the Lake hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D1029222 expire?

The CMS file lists August 11, 2028 as the certificate expiration date; the certificate took effect August 12, 2026.

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