CLIA lab
CLIA 24D1059187: Lake Owasso Residence
Shoreview, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1059187 belongs to Lake Owasso Residence in Shoreview, MN.
Certificate of Waiver, effective September 25, 2026, expires September 24, 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 Waiver
- Certificate effective
- September 25, 2026
- Certificate expiration
- September 24, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 25, 2006
- Facility type
- Intermediate care facility for individuals with intellectual disabilities
- Ownership (control type)
- Government, county
- 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
- 24D1059187
- Lab name
- Lake Owasso Residence
- Address
- 210 North Owasso Blvd, Shoreview, MN 55126
- Phone
- (651) 266-0717
- Fax
- (651) 765-7721
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 Shoreview, MN
- Allina Health Shoreview ClinicCertificate of Accreditation, Physician office24D0399940
- Arthur's Senior Care - EmmertCertificate of Waiver, Assisted living facility24D2116392
- Caridigan Ridge Senior LivingCertificate of Waiver, Assisted living facility24D2128508
- Dungarvin Minnesota LLC - CamaraCertificate of Waiver, Other24D2069388
- Ecumen HospiceCertificate of Waiver, Hospice24D2122194
- Entira Family Clinics ShoreviewCertificate of Accreditation, Physician office24D1050355
- Family Tree Care HomesCertificate of Waiver, Assisted living facility24D2293616
- Kindheart Care Home IncCertificate of Waiver, Assisted living facility24D2174550
- Lifelink IIICertificate of Compliance, Mobile lab24D0724410
- Mary T Associates, Inc Lilac LaneCertificate of Waiver, Other24D2293654
Related
Questions
What is the CLIA number for Lake Owasso Residence in Shoreview?
24D1059187, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Owasso Residence hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1059187 expire?
The CMS file lists September 24, 2028 as the certificate expiration date; the certificate took effect September 25, 2026.