CLIA lab

CLIA 24D1054400: Lifespark

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

CLIA number 24D1054400 belongs to Lifespark in Saint Louis Park, MN.

Certificate of Waiver, effective May 19, 2026, expires May 18, 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
May 19, 2026
Certificate expiration
May 18, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 19, 2006
Facility type
Home health agency
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
24D1054400
Lab name
Lifespark
Address
5320 W 23rd St Ste 130, Saint Louis Park, MN 55416
Phone
(952) 345-8770

Annual test volume the lab reported

Waived tests
1,000

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

Care facility at this address

Other labs in Saint Louis Park, MN

Related

Questions

What is the CLIA number for Lifespark in Saint Louis Park?

24D1054400, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lifespark hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D1054400 expire?

The CMS file lists May 18, 2028 as the certificate expiration date; the certificate took effect May 19, 2026.

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