CLIA lab
CLIA 24D2100453: Lino Lakes Gracewood
Lino Lakes, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2100453 belongs to Lino Lakes Gracewood in Lino Lakes, MN.
Certificate of Waiver, effective August 14, 2025, expires August 13, 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
- August 14, 2025
- Certificate expiration
- August 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 14, 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
- 24D2100453
- Lab name
- Lino Lakes Gracewood
- Address
- 675 Market Place Drive, Lino Lakes, MN 55014
- Phone
- (651) 202-3456
- Fax
- (651) 414-9125
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 Lino Lakes, MN
- Anoka County Juvenile CenterCertificate of Waiver, Prison24D2274336
- Associated Eye CareCertificate of Waiver, Physician office24D2052729
- Lino Lakes Assisted LivingCertificate of Waiver, Assisted living facility24D2028851
- Lyngblomsten at Lino Lakes, LCCCertificate of Waiver, Assisted living facility24D2286977
- Minnesota Correctional Facility Lino LakesCertificate of Waiver, Prison24D0879933
- North Suburban Family Physicians-Lino LakesCertificate of Accreditation, Physician office24D0398097
Related
Questions
What is the CLIA number for Lino Lakes Gracewood in Lino Lakes?
24D2100453, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lino Lakes Gracewood hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2100453 expire?
The CMS file lists August 13, 2027 as the certificate expiration date; the certificate took effect August 14, 2025.