CLIA lab

CLIA 24D2117418: Wayzata Childrens Clinic-Maple Grove

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

CLIA number 24D2117418 belongs to Wayzata Childrens Clinic-Maple Grove in Maple Grove, MN.

Certificate of Waiver, effective January 1, 2026, expires December 31, 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
January 1, 2026
Certificate expiration
December 31, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 16, 2016
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
3

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

Lab and contact

CLIA number
24D2117418
Lab name
Wayzata Childrens Clinic-Maple Grove
Address
9325 Upland Ln N #111, Maple Grove, MN 55369
Phone
(763) 324-8000
Fax
(952) 473-7908

Annual test volume the lab reported

Waived tests
143

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

Affiliated CLIA numbers

Other labs in Maple Grove, MN

Related

Questions

What is the CLIA number for Wayzata Childrens Clinic-Maple Grove in Maple Grove?

24D2117418, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Wayzata Childrens Clinic-Maple Grove hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2117418 expire?

The CMS file lists December 31, 2027 as the certificate expiration date; the certificate took effect January 1, 2026.

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