CLIA lab
CLIA 24D2107005: Eagle Street Assisted Living
Coon Rapids, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2107005 belongs to Eagle Street Assisted Living in Coon Rapids, MN.
Certificate of Waiver, effective January 5, 2026, expires January 4, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- January 5, 2026
- Certificate expiration
- January 4, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 5, 2016
- 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
- 24D2107005
- Lab name
- Eagle Street Assisted Living
- Address
- 12009 Eagle Street NW, Coon Rapids, MN 55448
- Phone
- (763) 862-1627
- Fax
- (763) 402-7639
Annual test volume the lab reported
- Waived tests
- 2,160
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Coon Rapids, MN
- Alight LLCCertificate of Waiver, Assisted living facility24D2339568
- Aliya Care IncCertificate of Waiver, Home health agency24D2170181
- All Hopes IncorporatedCertificate of Waiver, Assisted living facility24D2146917
- Allina Health Coon Rapids ClinicCertificate of Accreditation, Physician office24D0402953
- Allina Health Coon Rapids Clinic Mohs LabCertificate of Compliance, Physician office24D2303222
- Allina Health Mercy Women's Health ClinicCertificate of Waiver, Physician office24D0402974
- Associated Skin Care Specialists PA- Coon RapidsCertificate of Compliance, Physician office24D0680317
- Assurant Care Homes LLCCertificate of Waiver, Assisted living facility24D2177174
- Assurant Care Homes LLCCertificate of Waiver, Assisted living facility24D2283722
- Assurant Care Homes LLCCertificate of Waiver, Assisted living facility24D2283723
Related
Questions
What is the CLIA number for Eagle Street Assisted Living in Coon Rapids?
24D2107005, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Eagle Street Assisted Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2107005 expire?
The CMS file lists January 4, 2028 as the certificate expiration date; the certificate took effect January 5, 2026.