CLIA lab
CLIA 24D1099523: Mary T Hospice
Coon Rapids, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1099523 belongs to Mary T Hospice in Coon Rapids, MN.
Certificate of Waiver, effective May 15, 2025, expires May 14, 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
- May 15, 2025
- Certificate expiration
- May 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 15, 2009
- Facility type
- Hospice
- 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
- 24D1099523
- Lab name
- Mary T Hospice
- Address
- 11800 Xeon Boulevard NW, Coon Rapids, MN 55448
- Phone
- (763) 772-9963
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 Mary T Hospice in Coon Rapids?
24D1099523, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mary T Hospice hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1099523 expire?
The CMS file lists May 14, 2027 as the certificate expiration date; the certificate took effect May 15, 2025.