CLIA lab
CLIA 24D2073190: Lakeshore
Mahtomedi, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2073190 belongs to Lakeshore in Mahtomedi, MN.
Certificate of Waiver, effective February 12, 2026, expires February 11, 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 12, 2026
- Certificate expiration
- February 11, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 12, 2014
- Facility type
- Other
- 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
- 24D2073190
- Lab name
- Lakeshore
- Additional name
- DBA Lake Shore
- Address
- 140 Quail Street, Mahtomedi, MN 55115
- Phone
- (612) 454-5000
Annual test volume the lab reported
- Waived tests
- 1,400
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Mahtomedi, MN
- Encore at MahtomediCertificate of Waiver, Assisted living facility24D2032453
- New Perspective MahtomediCertificate of Waiver, Assisted living facility24D1029231
- New Perspective MahtomediCertificate of Waiver, Assisted living facility24D2034981
- ST Andrews VillageCertificate of Waiver, Assisted living facility24D2032779
Related
Questions
What is the CLIA number for Lakeshore in Mahtomedi?
24D2073190, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lakeshore hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2073190 expire?
The CMS file lists February 11, 2028 as the certificate expiration date; the certificate took effect February 12, 2026.