CLIA lab
CLIA 24D1040149: Haven Homes Assisted Living
Maple Plain, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1040149 belongs to Haven Homes Assisted Living in Maple Plain, 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
- Assisted living facility
- 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
- 24D1040149
- Lab name
- Haven Homes Assisted Living
- Address
- 4848 Gateway Blvd, Maple Plain, MN 55359
- Phone
- (763) 479-3655
Annual test volume the lab reported
- Waived tests
- 365
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Maple Plain, MN
Related
Questions
What is the CLIA number for Haven Homes Assisted Living in Maple Plain?
24D1040149, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Haven Homes Assisted Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1040149 expire?
The CMS file lists May 1, 2027 as the certificate expiration date; the certificate took effect May 2, 2025.