CLIA lab

CLIA 24D1075991: North Memorial Health Clinic - Maple Grove

Maple Grove, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 24D1075991 belongs to North Memorial Health Clinic - Maple Grove in Maple Grove, MN.

Certificate of Accreditation, effective November 11, 2024, expires November 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 Accreditation
Certificate effective
November 11, 2024
Certificate expiration
November 10, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 2, 2007
Facility type
Physician office
Ownership (control type)
Other
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
24D1075991
Lab name
North Memorial Health Clinic - Maple Grove
Address
9855 Hospital Dr Suite 102B, Maple Grove, MN 55369
Phone
(763) 581-5904
Fax
(763) 581-9221

Annual test volume the lab reported

Waived tests
900
Tests under accreditation
48,562
Total
49,462

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

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Questions

What is the CLIA number for North Memorial Health Clinic - Maple Grove in Maple Grove?

24D1075991, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does North Memorial Health Clinic - Maple Grove hold?

A Certificate of Accreditation, according to the CMS file.

When does CLIA 24D1075991 expire?

The CMS file lists November 10, 2026 as the certificate expiration date; the certificate took effect November 11, 2024.

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