CLIA lab
CLIA 24D2178792: Keller Lake Commons
Big Lake, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2178792 belongs to Keller Lake Commons in Big Lake, MN.
Certificate of Waiver, effective February 10, 2026, expires February 9, 2028.
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
- February 10, 2026
- Certificate expiration
- February 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 10, 2020
- Facility type
- Assisted living facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 5
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 24D2178792
- Lab name
- Keller Lake Commons
- Address
- 655 Norwood Ln, Big Lake, MN 55309
- Phone
- (763) 334-1091
- Fax
- (763) 402-7598
Annual test volume the lab reported
- Waived tests
- 12,300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Big Lake, MN
- Big Lake SchoolsCertificate of Waiver, Skilled nursing or nursing facility24D2235442
- Cargill Kitchen SolutionsCertificate of Waiver, Other24D2167767
- Centracare - Big Lake ClinicCertificate of Waiver, Physician office24D1080211
- Cherrywood of Big Lake 171Certificate of Waiver, Skilled nursing or nursing facility24D2057663
- Cherrywood of Big Lake 177Certificate of Waiver, Skilled nursing or nursing facility24D2044060
- Coborn's Pharmacy #2031Certificate of Waiver, Pharmacy24D2170293
- Divine House, IncCertificate of Waiver, Other24D2346789
- Fresenius Kidney Care Big LakeCertificate of Waiver, End stage renal disease dialysis facility24D1097831
- Sagent Behavioral Health Big Lake OpCertificate of Waiver, Comprehensive outpatient rehab facility24D2178337
- Sagent Treatment Big Lake ResidentialCertificate of Waiver, Comprehensive outpatient rehab facility24D2214767
Related
Questions
What is the CLIA number for Keller Lake Commons in Big Lake?
24D2178792, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Keller Lake Commons hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2178792 expire?
The CMS file lists February 9, 2028 as the certificate expiration date; the certificate took effect February 10, 2026.