CLIA lab
CLIA 24D2171703: Mary T Assoc Rice Creek
Crystal, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2171703 belongs to Mary T Assoc Rice Creek in Crystal, MN.
Certificate of Waiver, effective September 7, 2025, expires September 6, 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
- September 7, 2025
- Certificate expiration
- September 6, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 7, 2019
- Facility type
- Other
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 7
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 24D2171703
- Lab name
- Mary T Assoc Rice Creek
- Address
- 5402 Fairview Ave N, Crystal, MN 55429
- Phone
- (763) 592-9414
- Fax
- (612) 662-8213
Annual test volume the lab reported
- Waived tests
- 365
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Crystal, MN
- Amazing Love, LLCCertificate of Waiver, Assisted living facility24D1061114
- American Volunteer Homes LLCCertificate of Waiver, Assisted living facility24D2311064
- Azalea Homes LLCCertificate of Waiver, Assisted living facility24D2298167
- Bayside Customized Living LLCCertificate of Waiver, Assisted living facility24D2331401
- Belevo Health ServicesCertificate of Waiver, Assisted living facility24D2279912
- Better Stay Homes LLCCertificate of Waiver, Assisted living facility24D2319995
- Bimsol Home Care LLCCertificate of Waiver, Assisted living facility24D2286571
- Careview Home HealthCertificate of Waiver, Home health agency24D2168463
- Chez Michael Care-RegentCertificate of Waiver, Assisted living facility24D2265248
- Crystal Vision ClinicCertificate of Waiver, Physician office24D2251825
Related
Questions
What is the CLIA number for Mary T Assoc Rice Creek in Crystal?
24D2171703, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mary T Assoc Rice Creek hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2171703 expire?
The CMS file lists September 6, 2027 as the certificate expiration date; the certificate took effect September 7, 2025.