CLIA lab
CLIA 24D2122617: Northwest Eye Clinic, LLC
Wayzata, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2122617 belongs to Northwest Eye Clinic, LLC in Wayzata, 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
- 24D2122617
- Lab name
- Northwest Eye Clinic, LLC
- Address
- 250 Central Ave North Ste 107 & 105, Wayzata, MN 55391
- 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.
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- Eden PathwaysCertificate of Waiver, Home health agency24D2173770
- Hammer Residences, IncCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities24D1068783
- Insight Internal MedicineCertificate of Waiver, Physician office24D2292288
- Lak MedspaCertificate of Waiver, Physician office24D2028846
- Oral Maxillofacial Surg Consultants, PACertificate of Waiver, Physician office24D1098395
- Park Nicollet Clinic - WayzataCertificate of Accreditation, Physician office24D0400936
- Park Nicollet Health ServicesCertificate of Registration, Ancillary test site24D2132715
- Skin Care Doctors P ACertificate of Compliance, Physician office24D1033819
Related
Questions
What is the CLIA number for Northwest Eye Clinic, LLC in Wayzata?
24D2122617, 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 24D2122617 expire?
The CMS file lists November 30, 2026 as the certificate expiration date; the certificate took effect December 1, 2024.