CLIA lab

CLIA 24D2090963: Legacy Place LLC

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

CLIA number 24D2090963 belongs to Legacy Place LLC in Sauk Rapids, MN.

Certificate of Waiver, effective February 3, 2025, expires February 2, 2027.

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, 2025
Certificate expiration
February 2, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
February 3, 2015
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
24D2090963
Lab name
Legacy Place LLC
Address
902 15th Ave NE, Sauk Rapids, MN 56379
Phone
(320) 259-7988
Fax
(320) 251-0062

Annual test volume the lab reported

Waived tests
100

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

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Related

Questions

What is the CLIA number for Legacy Place LLC in Sauk Rapids?

24D2090963, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Legacy Place LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2090963 expire?

The CMS file lists February 2, 2027 as the certificate expiration date; the certificate took effect February 3, 2025.

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