CLIA lab
CLIA 24D1046875: Amy Johnson Residence
Saint Paul, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1046875 belongs to Amy Johnson Residence in Saint Paul, MN.
Certificate of Waiver, effective October 20, 2025, expires October 19, 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
- October 20, 2025
- Certificate expiration
- October 19, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 20, 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
- 24D1046875
- Lab name
- Amy Johnson Residence
- Address
- 89 Virginia, Saint Paul, MN 55102
- Phone
- (651) 227-0574
- Fax
- (651) 227-2862
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Related
Questions
What is the CLIA number for Amy Johnson Residence in Saint Paul?
24D1046875, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Amy Johnson Residence hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1046875 expire?
The CMS file lists October 19, 2027 as the certificate expiration date; the certificate took effect October 20, 2025.