CLIA lab
CLIA 24D2050095: Fridley White Pine
Fridley, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2050095 belongs to Fridley White Pine in Fridley, MN.
Certificate of Waiver, effective November 20, 2024, expires November 19, 2026.
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 20, 2024
- Certificate expiration
- November 19, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 20, 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
- 24D2050095
- Lab name
- Fridley White Pine
- Address
- 6352 Central Avenue, Fridley, MN 55432
- Phone
- (763) 574-7366
- Fax
- (763) 574-7362
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Fridley, MN
- Al-Shifa Clinic PACertificate of Waiver, Community clinic24D2321260
- Allina Health Fridley ClinicCertificate of Waiver, Physician office24D0402831
- Associated Skin Care Specialists Pa-FridleyCertificate of Compliance, Physician office24D0677251
- Bright Path Homes, LLCCertificate of Waiver, Home health agency24D2209696
- Carechoice Homes, LLCCertificate of Waiver, Assisted living facility24D2273394
- Carestay Homes LLCCertificate of Waiver, Assisted living facility24D2201561
- Cham Clinic LLCCertificate of Waiver, Other24D2199398
- Champions Village LLCCertificate of Waiver, Assisted living facility24D2213426
- Child and Teen Medical CenterCertificate of Accreditation, Physician office24D0402828
- Cub Pharmacy # 1630Certificate of Waiver, Pharmacy24D1067685
Related
Questions
What is the CLIA number for Fridley White Pine in Fridley?
24D2050095, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Fridley White Pine hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2050095 expire?
The CMS file lists November 19, 2026 as the certificate expiration date; the certificate took effect November 20, 2024.