CLIA lab
CLIA 24D2179689: First Light Residential Care LLC
Saint Louis Park, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2179689 belongs to First Light Residential Care LLC in Saint Louis Park, MN.
Certificate of Waiver, effective February 28, 2026, expires February 28, 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 28, 2026
- Certificate expiration
- February 28, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 28, 2020
- Facility type
- Home health agency
- 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
- 24D2179689
- Lab name
- First Light Residential Care LLC
- Address
- 2935 Aquila Ave S, Saint Louis Park, MN 55426
- Phone
- (952) 314-1216
- Fax
- (952) 314-1216
Annual test volume the lab reported
- Waived tests
- 3,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Brighton Hospice Minnesota LLCCertificate of Waiver, Hospice24D2076265
- Caring Sisters Home CareCertificate of Waiver, Home health agency24D1035149
- Cedar Ridge PlaceCertificate of Waiver, Assisted living facility24D2081431
- Children's MN Partners in PediatricsCertificate of Accreditation, Physician office24D0401675
- Comfort Care CenterCertificate of Waiver, Assisted living facility24D2266749
- Concerto Minnesota LLCCertificate of Waiver, End stage renal disease dialysis facility24D2303527
- Ct/Mri Imaging CenterCertificate of Waiver, Ancillary test site24D2077370
- Cub Pharmacy #1595Certificate of Waiver, Pharmacy24D2080074
- Cub Pharmacy #1924Certificate of Waiver, Pharmacy24D1067490
Related
Questions
What is the CLIA number for First Light Residential Care LLC in Saint Louis Park?
24D2179689, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does First Light Residential Care LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2179689 expire?
The CMS file lists February 28, 2028 as the certificate expiration date; the certificate took effect February 28, 2026.