CLIA lab
CLIA 24D2046964: Lilydale Senior Living
Lilydale, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2046964 belongs to Lilydale Senior Living in Lilydale, MN.
Certificate of Waiver, effective September 14, 2026, expires September 13, 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
- September 14, 2026
- Certificate expiration
- September 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 14, 2012
- Facility type
- Assisted living facility
- Ownership (control type)
- Proprietary
- 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
- 24D2046964
- Lab name
- Lilydale Senior Living
- Address
- 949 Sibley Memorial Highway, Lilydale, MN 55118
- Phone
- (651) 395-1715
- Fax
- (651) 454-4783
Annual test volume the lab reported
- Waived tests
- 2,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Lilydale, MN
Related
Questions
What is the CLIA number for Lilydale Senior Living in Lilydale?
24D2046964, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lilydale Senior Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2046964 expire?
The CMS file lists September 13, 2028 as the certificate expiration date; the certificate took effect September 14, 2026.