CLIA lab
CLIA 24D2108690: Odam Medical Group
Crystal, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2108690 belongs to Odam Medical Group in Crystal, MN.
Certificate of Waiver, effective February 9, 2026, expires February 8, 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
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Certificate
- Certificate type
- Certificate of Waiver
- Certificate effective
- February 9, 2026
- Certificate expiration
- February 8, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 9, 2016
- Facility type
- Physician office
- 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
- 24D2108690
- Lab name
- Odam Medical Group
- Address
- 6014 Lakeland Ave N, Crystal, MN 55428
- Phone
- (612) 871-2312
- Fax
- (612) 871-2163
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.
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- Careview Home HealthCertificate of Waiver, Home health agency24D2168463
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- Crystal Vision ClinicCertificate of Waiver, Physician office24D2251825
Related
Questions
What is the CLIA number for Odam Medical Group in Crystal?
24D2108690, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Odam Medical Group hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2108690 expire?
The CMS file lists February 8, 2028 as the certificate expiration date; the certificate took effect February 9, 2026.