CLIA lab
CLIA 24D1031090: Long Lake Assisted Living
Long Lake, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1031090 belongs to Long Lake Assisted Living in Long Lake, MN.
Certificate of Waiver, effective September 23, 2026, expires September 22, 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 23, 2026
- Certificate expiration
- September 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 23, 2004
- Facility type
- Other
- Ownership (control type)
- Private
- 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
- 24D1031090
- Lab name
- Long Lake Assisted Living
- Address
- 345 N Brown Road, Long Lake, MN 55356
- Phone
- (952) 473-2527
Annual test volume the lab reported
- Waived tests
- 1,456
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Related
Questions
What is the CLIA number for Long Lake Assisted Living in Long Lake?
24D1031090, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Long Lake Assisted Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1031090 expire?
The CMS file lists September 22, 2028 as the certificate expiration date; the certificate took effect September 23, 2026.