CLIA lab
CLIA 24D2133695: Olive Grove Hospice
Blaine, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2133695 belongs to Olive Grove Hospice in Blaine, MN.
Certificate of Waiver, effective July 18, 2025, expires July 17, 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
- July 18, 2025
- Certificate expiration
- July 17, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- July 18, 2017
- Facility type
- Hospice
- 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
- 24D2133695
- Lab name
- Olive Grove Hospice
- Address
- 12402 Jamestown St NE Suite #200, Blaine, MN 55449
- Phone
- (651) 287-0265
Annual test volume the lab reported
- Waived tests
- 1,200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Care facility at this address
- Olive Grove Hospice LLCCMS Care Compare ratings for the facility at the same street address
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Related
Questions
What is the CLIA number for Olive Grove Hospice in Blaine?
24D2133695, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Olive Grove Hospice hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2133695 expire?
The CMS file lists July 17, 2027 as the certificate expiration date; the certificate took effect July 18, 2025.