CLIA lab

CLIA 24D1049216: Brookdale West ST Paul

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

CLIA number 24D1049216 belongs to Brookdale West ST Paul in West Saint Paul, 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
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
24D1049216
Lab name
Brookdale West ST Paul
Address
305 E Thompson Ave, West Saint Paul, MN 55118
Phone
(651) 453-1803
Fax
(651) 453-1804

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.

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Related

Questions

What is the CLIA number for Brookdale West ST Paul in West Saint Paul?

24D1049216, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Brookdale West ST Paul hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D1049216 expire?

The CMS file lists December 28, 2027 as the certificate expiration date; the certificate took effect December 29, 2025.

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