CLIA lab

CLIA 24D2103728: Lifespark

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

CLIA number 24D2103728 belongs to Lifespark in Saint Louis Park, MN.

Certificate of Waiver, effective October 20, 2025, expires October 19, 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
October 20, 2025
Certificate expiration
October 19, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 20, 2015
Facility type
Home health agency
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
24D2103728
Lab name
Lifespark
Address
5320 W 23rd St Ste 130, Saint Louis Park, MN 55416
Phone
(952) 345-8770
Fax
(952) 345-8770

Annual test volume the lab reported

Waived tests
10,000

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

Care facility at this address

Affiliated CLIA numbers

Other labs in Saint Louis Park, MN

Related

Questions

What is the CLIA number for Lifespark in Saint Louis Park?

24D2103728, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Lifespark hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2103728 expire?

The CMS file lists October 19, 2027 as the certificate expiration date; the certificate took effect October 20, 2025.

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