CLIA lab
CLIA 24D2047955: Provident Home Healthcare
St Anthony, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2047955 belongs to Provident Home Healthcare in St Anthony, MN.
Certificate of Waiver, effective October 5, 2026, expires October 4, 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
- October 5, 2026
- Certificate expiration
- October 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- October 5, 2012
- Facility type
- Home health agency
- 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
- 24D2047955
- Lab name
- Provident Home Healthcare
- Address
- 2852 Anthony Lane S, St Anthony, MN 55418
- Phone
- (612) 238-4688
- Fax
- (612) 238-4689
Annual test volume the lab reported
- Waived tests
- 2,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Provident Home HealthcareCMS Care Compare ratings for the facility at the same street address
Other labs in St Anthony, MN
- Hayden Grove Senior LivingCertificate of Waiver, Assisted living facility24D2278608
- Hennepin Healthcare Community LaboratoriesCertificate of Compliance, Community clinic24D2016501
- Premier Health Homes IncCertificate of Waiver, Home health agency24D2089246
- ST Anthony Nursing Home Limited PartnershipCertificate of Waiver, Skilled nursing or nursing facility24D0402262
- Valora Senior Living of ST AnthonyCertificate of Waiver, Assisted living facility24D2066884
Related
Questions
What is the CLIA number for Provident Home Healthcare in St Anthony?
24D2047955, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Provident Home Healthcare hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2047955 expire?
The CMS file lists October 4, 2028 as the certificate expiration date; the certificate took effect October 5, 2026.