CLIA lab

CLIA 24D2072568: Melrose Center Maple Grove

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

CLIA number 24D2072568 belongs to Melrose Center Maple Grove in Maple Grove, MN.

Certificate of Waiver, effective February 3, 2026, expires February 2, 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
February 3, 2026
Certificate expiration
February 2, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 3, 2014
Facility type
Physician office
Ownership (control type)
Private
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
24D2072568
Lab name
Melrose Center Maple Grove
Address
9600 Upland Lane N, Suite 110, Maple Grove, MN 55369
Phone
(952) 993-6200

Annual test volume the lab reported

Waived tests
365

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

Other labs in Maple Grove, MN

Related

Questions

What is the CLIA number for Melrose Center Maple Grove in Maple Grove?

24D2072568, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Melrose Center Maple Grove hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2072568 expire?

The CMS file lists February 2, 2028 as the certificate expiration date; the certificate took effect February 3, 2026.

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