CLIA lab
CLIA 24D2165004: Suite Living Memory Care & Assisted Living
Little Canada, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2165004 belongs to Suite Living Memory Care & Assisted Living in Little Canada, MN.
Certificate of Waiver, effective April 17, 2025, expires April 16, 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
- April 17, 2025
- Certificate expiration
- April 16, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 17, 2019
- Facility type
- Assisted living facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 24D2165004
- Lab name
- Suite Living Memory Care & Assisted Living
- Additional name
- Of Little Canada
- Address
- 2740 Rice Street, Little Canada, MN 55113
- Phone
- (763) 657-9065
- Fax
- (651) 424-0048
Annual test volume the lab reported
- Waived tests
- 4,500
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Little Canada, MN
- Advanced Medical Home Care LLCCertificate of Waiver, Home health agency24D2063259
- Chirome Health and Wellness LLCCertificate of Waiver, Physician office24D2276203
- Grand ST Paul CVS, LLC DBA Cvs/Pharmacy #04573Certificate of Waiver, Pharmacy24D2279593
- Phoenix Residence VikingCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities24D1042492
- Women's Life Care CenterCertificate of Waiver, Community clinic24D2164590
Related
Questions
What is the CLIA number for Suite Living Memory Care & Assisted Living in Little Canada?
24D2165004, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Suite Living Memory Care & Assisted Living hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2165004 expire?
The CMS file lists April 16, 2027 as the certificate expiration date; the certificate took effect April 17, 2025.