CLIA lab
CLIA 24D2125778: Serenity Village
Avon, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2125778 belongs to Serenity Village in Avon, MN.
Certificate of Waiver, effective February 14, 2025, expires February 13, 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
- February 14, 2025
- Certificate expiration
- February 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 14, 2017
- Facility type
- Assisted living facility
- 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
- 24D2125778
- Lab name
- Serenity Village
- Address
- 113 Serenity Court, Avon, MN 56310
- Phone
- (763) 300-7875
- Fax
- (763) 201-5991
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.
Affiliated CLIA numbers
Related
Questions
What is the CLIA number for Serenity Village in Avon?
24D2125778, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Serenity Village hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2125778 expire?
The CMS file lists February 13, 2027 as the certificate expiration date; the certificate took effect February 14, 2025.