CLIA lab
CLIA 24D1040147: Valleyview Assisted Living of Jordan
Jordan, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1040147 belongs to Valleyview Assisted Living of Jordan in Jordan, MN.
Certificate of Waiver, effective May 2, 2025, expires May 1, 2027.
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
- May 2, 2025
- Certificate expiration
- May 1, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 2, 2005
- Facility type
- Skilled nursing or nursing facility
- Ownership (control type)
- Proprietary
- 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
- 24D1040147
- Lab name
- Valleyview Assisted Living of Jordan
- Address
- 4061 W 173rd Street, Jordan, MN 55352
- Phone
- (952) 492-6160
- Fax
- (952) 492-6446
Annual test volume the lab reported
- Waived tests
- 4,984
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Valleyview Assisted Living of Jordan in Jordan?
24D1040147, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Valleyview Assisted Living of Jordan hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1040147 expire?
The CMS file lists May 1, 2027 as the certificate expiration date; the certificate took effect May 2, 2025.