CLIA lab

CLIA 24D2122719: Golden Maple Homes, Inc

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

CLIA number 24D2122719 belongs to Golden Maple Homes, Inc in Burnsville, MN.

Certificate of Waiver, effective December 5, 2024, expires December 4, 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 5, 2024
Certificate expiration
December 4, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
December 5, 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
24D2122719
Lab name
Golden Maple Homes, Inc
Address
13104 Girard Ave South, Burnsville, MN 55337
Phone
(952) 393-3690
Fax
(952) 892-7806

Annual test volume the lab reported

Waived tests
365

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 Golden Maple Homes, Inc in Burnsville?

24D2122719, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Golden Maple Homes, Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2122719 expire?

The CMS file lists December 4, 2026 as the certificate expiration date; the certificate took effect December 5, 2024.

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