CLIA lab

CLIA 24D1090454: Mala Strana Assisted Living

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

CLIA number 24D1090454 belongs to Mala Strana Assisted Living in New Prague, MN.

Certificate of Waiver, effective October 10, 2026, expires October 9, 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
October 10, 2026
Certificate expiration
October 9, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 10, 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
24D1090454
Lab name
Mala Strana Assisted Living
Address
999 Columbus Ave North, New Prague, MN 56071
Phone
(952) 758-2511
Fax
(952) 758-0171

Annual test volume the lab reported

Waived tests
365

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 Mala Strana Assisted Living in New Prague?

24D1090454, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mala Strana Assisted Living hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D1090454 expire?

The CMS file lists October 9, 2028 as the certificate expiration date; the certificate took effect October 10, 2026.

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