CLIA lab

CLIA 24D1046860: Children's MN Minnetonka Ambulatory Surgery

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

CLIA number 24D1046860 belongs to Children's MN Minnetonka Ambulatory Surgery in Minnetonka, MN.

Certificate of Waiver, effective November 7, 2025, expires November 6, 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
November 7, 2025
Certificate expiration
November 6, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 20, 2005
Facility type
Ambulatory surgery center
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
4

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
24D1046860
Lab name
Children's MN Minnetonka Ambulatory Surgery
Address
6050 Clearwater Drive, Suite 300, Minnetonka, MN 55343
Phone
(612) 813-6072

Annual test volume the lab reported

Waived tests
125

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

Affiliated CLIA numbers

Other labs in Minnetonka, MN

Related

Questions

What is the CLIA number for Children's MN Minnetonka Ambulatory Surgery in Minnetonka?

24D1046860, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Children's MN Minnetonka Ambulatory Surgery hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D1046860 expire?

The CMS file lists November 6, 2027 as the certificate expiration date; the certificate took effect November 7, 2025.

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