CLIA lab
CLIA 24D2105380: Larpenteur Ave Dialysis
Roseville, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2105380 belongs to Larpenteur Ave Dialysis in Roseville, MN.
Certificate of Waiver, effective November 24, 2025, expires November 23, 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
- November 24, 2025
- Certificate expiration
- November 23, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 24, 2015
- Facility type
- End stage renal disease dialysis 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
- 24D2105380
- Lab name
- Larpenteur Ave Dialysis
- Address
- 1739 Lexington Ave North, Roseville, MN 55113
- Phone
- (651) 489-9260
- Fax
- (651) 489-9119
Annual test volume the lab reported
- Waived tests
- 3,477
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- DaVita Larpenteur Ave DialysisCMS Care Compare ratings for the facility at the same street address
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- Central Pediatrics PACertificate of Accreditation, Physician office24D0399059
- Children's Minnesota Partial HospitalizationCertificate of Waiver, Other24D2273024
- City of Roseville Fire DepartmentCertificate of Waiver, Other24D2237186
Related
Questions
What is the CLIA number for Larpenteur Ave Dialysis in Roseville?
24D2105380, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Larpenteur Ave Dialysis hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2105380 expire?
The CMS file lists November 23, 2027 as the certificate expiration date; the certificate took effect November 24, 2025.