CLIA lab
CLIA 24D1084162: Hawthorne House Inc
Golden Valley, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1084162 belongs to Hawthorne House Inc in Golden Valley, MN.
Certificate of Waiver, effective May 16, 2026, expires May 15, 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
- May 16, 2026
- Certificate expiration
- May 15, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 16, 2008
- Facility type
- Assisted living 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
- 24D1084162
- Lab name
- Hawthorne House Inc
- Address
- 6931 Country Club Drive, Golden Valley, MN 55427
- Phone
- (612) 385-9200
- Fax
- (763) 205-1950
Annual test volume the lab reported
- Waived tests
- 4,380
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Golden Valley, MN
- Aeris Medical Group PLLCCertificate of Waiver, Physician office24D2349899
- Alliance HHC + Nursing Services LLCCertificate of Waiver, Home health agency24D1086815
- Bond Home CareCertificate of Waiver, Assisted living facility24D2279918
- Compass Health Center Minnesota LLCCertificate of Waiver, Other24D2328922
- CompassioncareCertificate of Waiver, Home health agency24D2021489
- Courage Kenny Rehabilitation Institute TRPCertificate of Waiver, Skilled nursing or nursing facility24D0675220
- Covenant Living of Golden Valley -Certificate of Waiver, Skilled nursing or nursing facility24D0402328
- Covenant Living of Golden Valley D/B/ACertificate of Waiver, Assisted living facility24D2004407
- Epiphany Care Homes, LLCCertificate of Waiver, Assisted living facility24D1068215
- Forefront Dermatology, SC DBA Minneapolis PlasticCertificate of Waiver, Physician office24D2207524
Related
Questions
What is the CLIA number for Hawthorne House Inc in Golden Valley?
24D1084162, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Hawthorne House Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1084162 expire?
The CMS file lists May 15, 2028 as the certificate expiration date; the certificate took effect May 16, 2026.