CLIA lab

CLIA 24D1093803: FMC Maple Grove Dialysis

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

CLIA number 24D1093803 belongs to FMC Maple Grove Dialysis in Maple Grove, MN.

Certificate of Waiver, effective January 2, 2025, expires January 1, 2027.

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
January 2, 2025
Certificate expiration
January 1, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 2, 2009
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
24D1093803
Lab name
FMC Maple Grove Dialysis
Address
7365 Kirkwood Court, Suite 135, Maple Grove, MN 55369
Phone
(763) 494-0316

Annual test volume the lab reported

Waived tests
100

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

Other labs in Maple Grove, MN

Related

Questions

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

24D1093803, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does FMC Maple Grove Dialysis hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D1093803 expire?

The CMS file lists January 1, 2027 as the certificate expiration date; the certificate took effect January 2, 2025.

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