CLIA lab

CLIA 24D1034582: Fairview ST John's Hospital Imaging Center

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

CLIA number 24D1034582 belongs to Fairview ST John's Hospital Imaging Center in Maplewood, MN.

Certificate of Waiver, effective January 9, 2026, expires January 8, 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
January 9, 2026
Certificate expiration
January 8, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
December 7, 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
24D1034582
Lab name
Fairview ST John's Hospital Imaging Center
Address
2945 Hazelwood St N Suite 110, Maplewood, MN 55109
Phone
(651) 232-7000
Fax
(651) 232-5720

Annual test volume the lab reported

Waived tests
1,000

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

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Questions

What is the CLIA number for Fairview ST John's Hospital Imaging Center in Maplewood?

24D1034582, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Fairview ST John's Hospital Imaging Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D1034582 expire?

The CMS file lists January 8, 2028 as the certificate expiration date; the certificate took effect January 9, 2026.

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