CLIA lab

CLIA 24D2155594: Waters of Excelsior, the

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

CLIA number 24D2155594 belongs to Waters of Excelsior, the in Excelsior, MN.

Certificate of Waiver, effective October 2, 2026, expires October 1, 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
October 2, 2026
Certificate expiration
October 1, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
October 2, 2018
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
24D2155594
Lab name
Waters of Excelsior, the
Address
723 Water Street, Excelsior, MN 55331
Phone
(952) 424-1029
Fax
(952) 424-0131

Annual test volume the lab reported

Waived tests
500

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

Other labs in Excelsior, MN

Related

Questions

What is the CLIA number for Waters of Excelsior, the in Excelsior?

24D2155594, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Waters of Excelsior, the hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2155594 expire?

The CMS file lists October 1, 2028 as the certificate expiration date; the certificate took effect October 2, 2026.

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