CLIA lab
CLIA 24D1062275: Life Medical, PA
Saint Louis Park, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1062275 belongs to Life Medical, PA in Saint Louis Park, MN.
Certificate of Waiver, effective December 11, 2024, expires December 10, 2026.
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 11, 2024
- Certificate expiration
- December 10, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 11, 2006
- Facility type
- Physician office
- 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
- 24D1062275
- Lab name
- Life Medical, PA
- Address
- 4201 Excelsior Blvd, Saint Louis Park, MN 55416
- Phone
- (952) 564-3880
Annual test volume the lab reported
- Waived tests
- 500
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 Life Medical, PA in Saint Louis Park?
24D1062275, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Life Medical, PA hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1062275 expire?
The CMS file lists December 10, 2026 as the certificate expiration date; the certificate took effect December 11, 2024.