CLIA lab

CLIA 24D2108896: Prairiecare LLC

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

CLIA number 24D2108896 belongs to Prairiecare LLC in Maplewood, MN.

Certificate of Waiver, effective February 16, 2026, expires February 15, 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 16, 2026
Certificate expiration
February 15, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
February 16, 2016
Facility type
Other
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
24D2108896
Lab name
Prairiecare LLC
Address
2001 Beam Ave, Maplewood, MN 55109
Phone
(763) 383-5800
Fax
(763) 383-5802

Annual test volume the lab reported

Waived tests
300

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

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Related

Questions

What is the CLIA number for Prairiecare LLC in Maplewood?

24D2108896, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Prairiecare LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2108896 expire?

The CMS file lists February 15, 2028 as the certificate expiration date; the certificate took effect February 16, 2026.

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