CLIA lab
CLIA 24D2166869: Bethel Pavilion Homecare LCC
Brooklyn Park, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2166869 belongs to Bethel Pavilion Homecare LCC in Brooklyn Park, MN.
Certificate of Waiver, effective May 28, 2025, expires May 27, 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
- May 28, 2025
- Certificate expiration
- May 27, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 28, 2019
- 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
- 24D2166869
- Lab name
- Bethel Pavilion Homecare LCC
- Address
- 3816 83rd Ave N, Brooklyn Park, MN 55443
- Phone
- (763) 913-7094
- Fax
- (763) 999-4556
Annual test volume the lab reported
- Waived tests
- 850
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Brooklyn Park, MN
- 1509 Sugarloaf Tril Berkeley Heights LLCCertificate of Waiver, Assisted living facility24D2235592
- 1st Assured Care LLCCertificate of Waiver, Assisted living facility24D2294982
- 1st Attentive Services LLCCertificate of Waiver, Assisted living facility24D2192282
- 1st Attentive Services LLCCertificate of Waiver, Assisted living facility24D2270149
- 1st Attentive Services LLCCertificate of Waiver, Assisted living facility24D2330969
- 24 - Seven Home Care IncCertificate of Waiver, Home health agency24D2168992
- 3D Innovative CaresCertificate of Waiver, Assisted living facility24D2311923
- 6917 Edgewood Berkeley Heights LLCCertificate of Waiver, Assisted living facility24D2235496
- 83rd PlaceCertificate of Waiver, Skilled nursing or nursing facility24D2180570
- A Blooming Grace IncCertificate of Waiver, Assisted living facility24D2348254
Related
Questions
What is the CLIA number for Bethel Pavilion Homecare LCC in Brooklyn Park?
24D2166869, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Bethel Pavilion Homecare LCC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2166869 expire?
The CMS file lists May 27, 2027 as the certificate expiration date; the certificate took effect May 28, 2025.