CLIA lab
CLIA 24D1058229: Fairview Clinics Bass Lake Clinic
Maple Grove, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1058229 belongs to Fairview Clinics Bass Lake Clinic in Maple Grove, MN.
Certificate of Accreditation, effective June 24, 2026, expires June 23, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Accreditation
- Certificate effective
- June 24, 2026
- Certificate expiration
- June 23, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 2006
- Facility type
- Community clinic
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Accrediting organizations
- COLA
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 24D1058229
- Lab name
- Fairview Clinics Bass Lake Clinic
- Address
- 6320 Wedgewood Rd N, Maple Grove, MN 55311
- Phone
- (952) 268-0400
- Fax
- (763) 268-0405
Annual test volume the lab reported
- Waived tests
- 100
- Tests under accreditation
- 3,575
- Total
- 3,675
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Maple Grove, MN
- 1 on 1 Comprehensive Healthcare SolutionCertificate of Waiver, Assisted living facility24D2280150
- Acr MagnoliaCertificate of Waiver, Other24D1053133
- Advent Maple GroveCertificate of Waiver, Physician office24D2297819
- Agape Home Care ServicesCertificate of Waiver, Assisted living facility24D2315635
- Alliance Assisted Living Services LLCCertificate of Waiver, Assisted living facility24D2336152
- Allina Health Maple GroveCertificate of Waiver, Community clinic24D0400724
- Almara Women's Health Ogi-MgCertificate for Provider-Performed Microscopy Procedures, Physician office24D0900330
- Arbor Lakes Senior LivingCertificate of Waiver, Assisted living facility24D2015826
- Arbor Lakes Senior Living IICertificate of Waiver, Assisted living facility24D2230076
- Arthritis & Rheumatology Consultants PACertificate of Compliance, Physician office24D2061345
Related
Questions
What is the CLIA number for Fairview Clinics Bass Lake Clinic in Maple Grove?
24D1058229, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fairview Clinics Bass Lake Clinic hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 24D1058229 expire?
The CMS file lists June 23, 2028 as the certificate expiration date; the certificate took effect June 24, 2026.