CLIA lab

CLIA 24D2147126: Blaine ASC LLC

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

CLIA number 24D2147126 belongs to Blaine ASC LLC in Blaine, MN.

Certificate of Waiver, effective April 13, 2026, expires April 12, 2028.

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
April 13, 2026
Certificate expiration
April 12, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 13, 2018
Facility type
Ambulatory surgery center
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
24D2147126
Lab name
Blaine ASC LLC
Address
11225 Ulysses Street Northeast, Blaine, MN 55434
Phone
(763) 302-2200
Fax
(763) 302-2201

Annual test volume the lab reported

Waived tests
350

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Blaine, MN

Related

Questions

What is the CLIA number for Blaine ASC LLC in Blaine?

24D2147126, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Blaine ASC LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2147126 expire?

The CMS file lists April 12, 2028 as the certificate expiration date; the certificate took effect April 13, 2026.

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