CLIA lab

CLIA 24D1080417: Maple Grove Dialysis Unit

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

CLIA number 24D1080417 belongs to Maple Grove Dialysis Unit in Maple Grove, MN.

Certificate of Waiver, effective February 22, 2026, expires February 21, 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
February 22, 2026
Certificate expiration
February 21, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 22, 2008
Facility type
End stage renal disease dialysis facility
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
24D1080417
Lab name
Maple Grove Dialysis Unit
Address
15655 Grove Circle North, Maple Grove, MN 55369
Phone
(615) 341-6793

Annual test volume the lab reported

Waived tests
7,200

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 Maple Grove, MN

Related

Questions

What is the CLIA number for Maple Grove Dialysis Unit in Maple Grove?

24D1080417, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Maple Grove Dialysis Unit hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D1080417 expire?

The CMS file lists February 21, 2028 as the certificate expiration date; the certificate took effect February 22, 2026.

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