CLIA lab

CLIA 24D2039462: The Phoenix Residence Inc

Vadnais Heights, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 24D2039462 belongs to The Phoenix Residence Inc in Vadnais Heights, MN.

Certificate of Waiver, effective April 10, 2026, expires April 9, 2028.

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
April 10, 2026
Certificate expiration
April 9, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 10, 2012
Facility type
Intermediate care facility for individuals with intellectual disabilities
Ownership (control type)
Private
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
24D2039462
Lab name
The Phoenix Residence Inc
Address
785 East County Road E, Vadnais Heights, MN 55127
Phone
(651) 486-9342
Fax
(651) 486-9349

Annual test volume the lab reported

Waived tests
12

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Vadnais Heights, MN

Related

Questions

What is the CLIA number for The Phoenix Residence Inc in Vadnais Heights?

24D2039462, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does The Phoenix Residence Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2039462 expire?

The CMS file lists April 9, 2028 as the certificate expiration date; the certificate took effect April 10, 2026.

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