CLIA lab
CLIA 24D2030778: Saint Therese at ST Odilia
Shoreview, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2030778 belongs to Saint Therese at ST Odilia in Shoreview, MN.
Certificate of Waiver, effective October 5, 2025, expires October 4, 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
- October 5, 2025
- Certificate expiration
- October 4, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 5, 2011
- 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
- 24D2030778
- Lab name
- Saint Therese at ST Odilia
- Address
- 3500 Vivian Avenue, Shoreview, MN 55126
- Phone
- (651) 842-6780
- Fax
- (651) 842-6653
Annual test volume the lab reported
- Waived tests
- 75
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Arthur's Senior Care - EmmertCertificate of Waiver, Assisted living facility24D2116392
- Caridigan Ridge Senior LivingCertificate of Waiver, Assisted living facility24D2128508
- Dungarvin Minnesota LLC - CamaraCertificate of Waiver, Other24D2069388
- Ecumen HospiceCertificate of Waiver, Hospice24D2122194
- Entira Family Clinics ShoreviewCertificate of Accreditation, Physician office24D1050355
- Family Tree Care HomesCertificate of Waiver, Assisted living facility24D2293616
- Kindheart Care Home IncCertificate of Waiver, Assisted living facility24D2174550
- Lake Owasso ResidenceCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities24D1059187
- Lifelink IIICertificate of Compliance, Mobile lab24D0724410
Related
Questions
What is the CLIA number for Saint Therese at ST Odilia in Shoreview?
24D2030778, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Saint Therese at ST Odilia hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2030778 expire?
The CMS file lists October 4, 2027 as the certificate expiration date; the certificate took effect October 5, 2025.