CLIA lab

CLIA 24D1032350: Meadows on Fairview

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

CLIA number 24D1032350 belongs to Meadows on Fairview in Wyoming, MN.

Certificate of Waiver, effective October 21, 2026, expires October 20, 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
October 21, 2026
Certificate expiration
October 20, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 21, 2004
Facility type
Assisted living 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
24D1032350
Lab name
Meadows on Fairview
Additional name
Ebenezer Lakes Assisted Living
Address
25565 Fairview Avenue, Wyoming, MN 55092
Phone
(651) 982-6228
Fax
(651) 466-0714

Annual test volume the lab reported

Waived tests
5,000

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

Other labs in Wyoming, MN

Related

Questions

What is the CLIA number for Meadows on Fairview in Wyoming?

24D1032350, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Meadows on Fairview hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D1032350 expire?

The CMS file lists October 20, 2028 as the certificate expiration date; the certificate took effect October 21, 2026.

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