CLIA lab

CLIA 24D2173452: Maple Grove Hy-Vee

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

CLIA number 24D2173452 belongs to Maple Grove Hy-Vee in Maple Grove, MN.

Certificate of Waiver, effective October 14, 2025, expires October 13, 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
October 14, 2025
Certificate expiration
October 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 14, 2019
Facility type
Pharmacy
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
24D2173452
Lab name
Maple Grove Hy-Vee
Address
18755 70th Way N, Maple Grove, MN 55311
Phone
(763) 494-5303

Annual test volume the lab reported

Waived tests
1,000

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

Other labs in Maple Grove, MN

Related

Questions

What is the CLIA number for Maple Grove Hy-Vee in Maple Grove?

24D2173452, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Maple Grove Hy-Vee hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2173452 expire?

The CMS file lists October 13, 2027 as the certificate expiration date; the certificate took effect October 14, 2025.

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