CLIA lab

CLIA 24D2128224: Peaceful Lodge

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

CLIA number 24D2128224 belongs to Peaceful Lodge in Oakdale, MN.

Certificate of Waiver, effective March 28, 2025, expires March 27, 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
March 28, 2025
Certificate expiration
March 27, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
March 28, 2017
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
24D2128224
Lab name
Peaceful Lodge
Address
6630 Hudson Blvd, Oakdale, MN 55128
Phone
(651) 207-5769
Fax
(612) 435-9881

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 Peaceful Lodge in Oakdale?

24D2128224, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Peaceful Lodge hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2128224 expire?

The CMS file lists March 27, 2027 as the certificate expiration date; the certificate took effect March 28, 2025.

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