CLIA lab

CLIA 24D2118650: Keystone Place at Lavalle Fields

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

CLIA number 24D2118650 belongs to Keystone Place at Lavalle Fields in Hugo, MN.

Certificate of Waiver, effective September 13, 2026, expires September 12, 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
September 13, 2026
Certificate expiration
September 12, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 13, 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
24D2118650
Lab name
Keystone Place at Lavalle Fields
Address
14602 Finale Ave North, Hugo, MN 55038
Phone
(651) 888-6557
Fax
(651) 426-3938

Annual test volume the lab reported

Waived tests
5,840

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 Keystone Place at Lavalle Fields in Hugo?

24D2118650, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Keystone Place at Lavalle Fields hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2118650 expire?

The CMS file lists September 12, 2028 as the certificate expiration date; the certificate took effect September 13, 2026.

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