CLIA lab

CLIA 24D2040821: Clinic Sofia Ob/Gyn PA

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

CLIA number 24D2040821 belongs to Clinic Sofia Ob/Gyn PA in Maple Grove, MN.

Certificate for Provider-Performed Microscopy Procedures, effective October 13, 2026, expires October 12, 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 for Provider-Performed Microscopy Procedures
Certificate effective
October 13, 2026
Certificate expiration
October 12, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 10, 2012
Facility type
Physician office
Ownership (control type)
Proprietary
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
24D2040821
Lab name
Clinic Sofia Ob/Gyn PA
Address
15715 Grove Circle N, Maple Grove, MN 55369
Phone
(952) 922-7600
Fax
(763) 416-1758

Annual test volume the lab reported

Waived tests
1,600
Provider-performed microscopy tests
300
Total
1,900

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

Affiliated CLIA numbers

Other labs in Maple Grove, MN

Related

Questions

What is the CLIA number for Clinic Sofia Ob/Gyn PA in Maple Grove?

24D2040821, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Clinic Sofia Ob/Gyn PA hold?

A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.

When does CLIA 24D2040821 expire?

The CMS file lists October 12, 2028 as the certificate expiration date; the certificate took effect October 13, 2026.

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