CLIA lab

CLIA 24D2122616: Northwest Eye Clinic, LLC

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

CLIA number 24D2122616 belongs to Northwest Eye Clinic, LLC in Maple Grove, MN.

Certificate of Waiver, effective December 1, 2024, expires November 30, 2026.

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
December 1, 2024
Certificate expiration
November 30, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 1, 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
24D2122616
Lab name
Northwest Eye Clinic, LLC
Address
12000 Elm Creek Blvd North, Maple Grove, MN 55369
Phone
(763) 416-7600

Annual test volume the lab reported

Waived tests
2,000

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

Other labs in Maple Grove, MN

Related

Questions

What is the CLIA number for Northwest Eye Clinic, LLC in Maple Grove?

24D2122616, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Northwest Eye Clinic, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2122616 expire?

The CMS file lists November 30, 2026 as the certificate expiration date; the certificate took effect December 1, 2024.

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