CLIA lab
CLIA 24D1049215: Southern Oaks Place
Blaine, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1049215 belongs to Southern Oaks Place in Blaine, MN.
Certificate of Waiver, effective December 29, 2025, expires December 28, 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
- December 29, 2025
- Certificate expiration
- December 28, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 29, 2005
- Facility type
- Assisted living 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
- 24D1049215
- Lab name
- Southern Oaks Place
- Address
- 10669 Ulysses St NE, Blaine, MN 55449
- Phone
- (612) 900-5221
- Fax
- (763) 402-7815
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Blaine, MN
- Adequate Home Care LLCCertificate of Waiver, Assisted living facility24D2189175
- Allina Health Blaine ClinicCertificate of Waiver, Community clinic24D1097783
- American Current Care of Minnesota, PACertificate of Waiver, Physician office24D2126808
- Ascendcare Home Health Solutions LLCCertificate of Waiver, Home health agency24D2315230
- Associated Skin Care SpecialistsCertificate for Provider-Performed Microscopy Procedures, Physician office24D0680318
- Blaine ASC LLCCertificate of Waiver, Ambulatory surgery center24D2147126
- Blaine Eye ClinicCertificate of Waiver, Physician office24D2228198
- Blaine Health Services LLCCertificate of Waiver, Assisted living facility24D2330930
- Blaine WP II, LLCCertificate of Waiver, Assisted living facility24D2097108
- Blaine White PineCertificate of Waiver, Assisted living facility24D2050105
Related
Questions
What is the CLIA number for Southern Oaks Place in Blaine?
24D1049215, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Southern Oaks Place hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1049215 expire?
The CMS file lists December 28, 2027 as the certificate expiration date; the certificate took effect December 29, 2025.