CLIA lab
CLIA 24D2016753: Pediatric Home Service Private Duty Nursing SVC
Roseville, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2016753 belongs to Pediatric Home Service Private Duty Nursing SVC in Roseville, MN.
Certificate of Waiver, effective November 24, 2024, expires November 23, 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
- November 24, 2024
- Certificate expiration
- November 23, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 24, 2010
- Facility type
- Home health agency
- 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
- 24D2016753
- Lab name
- Pediatric Home Service Private Duty Nursing SVC
- Address
- 2800 Cleveland Avenue N, Roseville, MN 55113
- Phone
- (651) 642-1825
Annual test volume the lab reported
- Waived tests
- 9,100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Pediatric Home ServiceCMS Care Compare ratings for the facility at the same street address
Other labs in Roseville, MN
- Acr Homes - FulhamCertificate of Waiver, Other24D2313643
- Advance Recovery CenterCertificate of Waiver, Independent24D2320022
- Amira Choice Roseville LLCCertificate of Waiver, Assisted living facility24D2042716
- Amira Choice Roseville at LexingtonCertificate of Waiver, Assisted living facility24D2134718
- Arkhaven Home Care, LLCCertificate of Waiver, Assisted living facility24D2212322
- Arthur's Senior Care - Alta VistaCertificate of Waiver, Skilled nursing or nursing facility24D1103256
- Ayya Assisted LivingCertificate of Waiver, Assisted living facility24D2323762
- Central Pediatrics PACertificate of Accreditation, Physician office24D0399059
- Children's Minnesota Partial HospitalizationCertificate of Waiver, Other24D2273024
- City of Roseville Fire DepartmentCertificate of Waiver, Other24D2237186
Related
Questions
What is the CLIA number for Pediatric Home Service Private Duty Nursing SVC in Roseville?
24D2016753, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Pediatric Home Service Private Duty Nursing SVC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2016753 expire?
The CMS file lists November 23, 2026 as the certificate expiration date; the certificate took effect November 24, 2024.