CLIA lab

CLIA 24D2173455: Havenwood of Burnsville

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

CLIA number 24D2173455 belongs to Havenwood of Burnsville in Burnsville, 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
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
24D2173455
Lab name
Havenwood of Burnsville
Address
14401 Grand Avenue, Burnsville, MN 55306
Phone
(952) 206-5700
Fax
(952) 206-6375

Annual test volume the lab reported

Waived tests
3,630

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 Havenwood of Burnsville in Burnsville?

24D2173455, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Havenwood of Burnsville hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2173455 expire?

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

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