CLIA lab

CLIA 24D2076075: Deephaven Woods

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

CLIA number 24D2076075 belongs to Deephaven Woods in Deephaven, MN.

Certificate of Waiver, effective April 11, 2026, expires April 10, 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
April 11, 2026
Certificate expiration
April 10, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 11, 2014
Facility type
Assisted living facility
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
24D2076075
Lab name
Deephaven Woods
Additional name
ST Therese Senior Living, LLC
Address
18025 Minnetonka Blvd, Deephaven, MN 55391
Phone
(952) 288-2187

Annual test volume the lab reported

Waived tests
20

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

Other labs in Deephaven, MN

Related

Questions

What is the CLIA number for Deephaven Woods in Deephaven?

24D2076075, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Deephaven Woods hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2076075 expire?

The CMS file lists April 10, 2028 as the certificate expiration date; the certificate took effect April 11, 2026.

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