CLIA lab
CLIA 24D1091445: Ridgeview Clinic Endoscopy Department
Waconia, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1091445 belongs to Ridgeview Clinic Endoscopy Department in Waconia, MN.
Certificate of Waiver, effective October 31, 2024, expires October 30, 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
- October 31, 2024
- Certificate expiration
- October 30, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 31, 2008
- Facility type
- Physician office
- Ownership (control type)
- Private
- 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
- 24D1091445
- Lab name
- Ridgeview Clinic Endoscopy Department
- Address
- Rpb, 560 South Maple St Pond Level Ste 2, Waconia, MN 55387
- Phone
- (952) 442-2191
- Fax
- (952) 442-6539
Annual test volume the lab reported
- Waived tests
- 50
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 Ridgeview Clinic Endoscopy Department in Waconia?
24D1091445, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ridgeview Clinic Endoscopy Department hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1091445 expire?
The CMS file lists October 30, 2026 as the certificate expiration date; the certificate took effect October 31, 2024.