CLIA lab
CLIA 24D1105289: North Metro Surgery Center
Blaine, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1105289 belongs to North Metro Surgery Center in Blaine, MN.
Certificate of Waiver, effective September 21, 2025, expires September 20, 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
- September 21, 2025
- Certificate expiration
- September 20, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 21, 2009
- Facility type
- Ambulatory surgery center
- 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
- 24D1105289
- Lab name
- North Metro Surgery Center
- Address
- 11855 Ulysses Street Suite 270, Blaine, MN 55434
- Phone
- (763) 755-6540
Annual test volume the lab reported
- Waived tests
- 500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Blaine Health Services LLCCertificate of Waiver, Assisted living facility24D2330930
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Related
Questions
What is the CLIA number for North Metro Surgery Center in Blaine?
24D1105289, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does North Metro Surgery Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1105289 expire?
The CMS file lists September 20, 2027 as the certificate expiration date; the certificate took effect September 21, 2025.