CLIA lab
CLIA 24D2032776: Lake Minnetonka Shores Assisted Living
Spring Park, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2032776 belongs to Lake Minnetonka Shores Assisted Living in Spring Park, MN.
Certificate of Waiver, effective November 15, 2025, expires November 14, 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 15, 2025
- Certificate expiration
- November 14, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 15, 2011
- Facility type
- Assisted living facility
- Ownership (control type)
- Private
- 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
- 24D2032776
- Lab name
- Lake Minnetonka Shores Assisted Living
- Additional name
- Commons/Arbor
- Address
- 4559 Shoreline Drive, Spring Park, MN 55384
- Phone
- (952) 471-6088
- Fax
- (952) 471-5016
Annual test volume the lab reported
- Waived tests
- 1,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Spring Park, MN
Related
Questions
What is the CLIA number for Lake Minnetonka Shores Assisted Living in Spring Park?
24D2032776, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lake Minnetonka Shores Assisted Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2032776 expire?
The CMS file lists November 14, 2027 as the certificate expiration date; the certificate took effect November 15, 2025.