CLIA lab
CLIA 24D1041851: Phoenix Residence Caswell
White Bear Lake, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1041851 belongs to Phoenix Residence Caswell in White Bear Lake, MN.
Certificate of Waiver, effective April 12, 2026, expires April 11, 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
- April 12, 2026
- Certificate expiration
- April 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 14, 2005
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- 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
- 24D1041851
- Lab name
- Phoenix Residence Caswell
- Address
- 2168 12th Street, White Bear Lake, MN 55110
- Phone
- (651) 653-3713
- Fax
- (651) 653-5784
Annual test volume the lab reported
- Waived tests
- 12
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in White Bear Lake, MN
- Aalfa Family Practice, PACertificate for Provider-Performed Microscopy Procedures, Physician office24D0399412
- Advanced Dermatology CareCertificate of Compliance, Physician office24D0897250
- Agape Hospice IncCertificate of Waiver, Hospice24D2330380
- Caring Hands Homecare LLCCertificate of Waiver, Home health agency24D2339957
- Cerenity Residence of White Bear LakeCertificate of Waiver, Assisted living facility24D2016500
- Cerenity Senior Care - White Bear LakeCertificate of Waiver, Skilled nursing or nursing facility24D0680791
- Cub Pharmacy #1591Certificate of Waiver, Pharmacy24D2107535
- Cub Pharmacy #1918Certificate of Waiver, Pharmacy24D1067474
- Curana Health Clinic at White Bear LakeCertificate of Waiver, Physician office24D2332918
- Evangelia Wold Inc DBA Symphony Senior Home CareCertificate of Waiver, Home health agency24D2286562
Related
Questions
What is the CLIA number for Phoenix Residence Caswell in White Bear Lake?
24D1041851, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Phoenix Residence Caswell hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1041851 expire?
The CMS file lists April 11, 2028 as the certificate expiration date; the certificate took effect April 12, 2026.