CLIA lab
CLIA 24D2017925: Good Samaritan Society Home Care
Robbinsdale, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2017925 belongs to Good Samaritan Society Home Care in Robbinsdale, MN.
Certificate of Waiver, effective December 21, 2024, expires December 20, 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
- December 21, 2024
- Certificate expiration
- December 20, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- December 21, 2010
- Facility type
- Home health agency
- Ownership (control type)
- Religious affiliation
- 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
- 24D2017925
- Lab name
- Good Samaritan Society Home Care
- Address
- 4080 W Broadway Ave Suite 132, Robbinsdale, MN 55422
- Phone
- (763) 546-9020
- Fax
- (763) 546-9023
Annual test volume the lab reported
- Waived tests
- 120
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Aah Mercy Home Health LLCCertificate of Waiver, Assisted living facility24D2299793
- Acr Robin AveCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities24D1038684
- American Current Care of Minnesota, PCCertificate of Waiver, Physician office24D0907844
- Annex Teen Medical ClncCertificate for Provider-Performed Microscopy Procedures, Community clinic24D0402317
- FMC Robbinsdale DialysisCertificate of Waiver, End stage renal disease dialysis facility24D2128002
- Good Samaritan SocietyCertificate of Waiver, Skilled nursing or nursing facility24D0401861
- Grand ST Paul CVS, LLC DBA Cvs/Pharmacy #01129Certificate of Waiver, Pharmacy24D2279537
- Hy-Vee Pharmacy (1545)Certificate of Waiver, Pharmacy24D2154704
- Kavira HealthCertificate of Waiver, Home health agency24D2210366
- Laboratory Corporation of AmericaCertificate of Compliance, Independent24D2240276
Related
Questions
What is the CLIA number for Good Samaritan Society Home Care in Robbinsdale?
24D2017925, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Good Samaritan Society Home Care hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2017925 expire?
The CMS file lists December 20, 2026 as the certificate expiration date; the certificate took effect December 21, 2024.