CLIA lab

CLIA 24D2157794: Holistic Home Care, LLC

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

CLIA number 24D2157794 belongs to Holistic Home Care, LLC in Woodbury, MN.

Certificate of Waiver, effective November 14, 2024, expires November 13, 2026.

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
November 14, 2024
Certificate expiration
November 13, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 14, 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
24D2157794
Lab name
Holistic Home Care, LLC
Address
7533 Carillon Plaza West, Woodbury, MN 55125
Phone
(651) 283-9564
Fax
(651) 738-9759

Annual test volume the lab reported

Waived tests
1

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 Holistic Home Care, LLC in Woodbury?

24D2157794, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Holistic Home Care, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2157794 expire?

The CMS file lists November 13, 2026 as the certificate expiration date; the certificate took effect November 14, 2024.

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