CLIA lab
CLIA 24D2032453: Encore at Mahtomedi
Mahtomedi, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2032453 belongs to Encore at Mahtomedi in Mahtomedi, MN.
Certificate of Waiver, effective November 9, 2025, expires November 8, 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
- November 9, 2025
- Certificate expiration
- November 8, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 9, 2011
- Facility type
- Assisted living facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 4
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 24D2032453
- Lab name
- Encore at Mahtomedi
- Address
- 720 Mahtomedi Ave, Mahtomedi, MN 55115
- Phone
- (651) 528-8442
- Fax
- (651) 756-8240
Annual test volume the lab reported
- Waived tests
- 5,840
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Mahtomedi, MN
Related
Questions
What is the CLIA number for Encore at Mahtomedi in Mahtomedi?
24D2032453, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Encore at Mahtomedi hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2032453 expire?
The CMS file lists November 8, 2027 as the certificate expiration date; the certificate took effect November 9, 2025.