CLIA lab
CLIA 24D2180582: Liberty Mathan LLC
Anoka, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2180582 belongs to Liberty Mathan LLC in Anoka, MN.
Certificate of Waiver, effective March 17, 2026, expires March 16, 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
- March 17, 2026
- Certificate expiration
- March 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 17, 2020
- Facility type
- Assisted living facility
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Directly affiliated labs
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 24D2180582
- Lab name
- Liberty Mathan LLC
- Address
- 3248 Sprague Avenue, Anoka, MN 55303
- Phone
- (763) 227-9368
- Fax
- (763) 951-3450
Annual test volume the lab reported
- Waived tests
- 80
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Anoka, MN
- Accesible Hearts Care LLCCertificate of Waiver, Assisted living facility24D2340364
- Anoka Cnty Comm Hlth/Environmental SVCCertificate of Waiver, Other24D0668284
- Anoka County JailCertificate of Waiver, Prison24D0934136
- Anoka County WorkhouseCertificate of Waiver, Other24D2283312
- Anoka Hennepin Isd/Cynthia HiltzCertificate of Waiver, School or student health service24D0862509
- Anoka Metro Regional Treatment CenterCertificate of Waiver, Other24D0040530
- Anoka Rehabilitation and Living CenterCertificate of Waiver, Skilled nursing or nursing facility24D0865411
- Baikah Homes LLCCertificate of Waiver, Assisted living facility24D2159328
- Benedictine Living Community Anoka LLCCertificate of Waiver, Assisted living facility24D1086811
- Destiny Home Care Services LLCCertificate of Waiver, Assisted living facility24D2346950
Related
Questions
What is the CLIA number for Liberty Mathan LLC in Anoka?
24D2180582, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Liberty Mathan LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2180582 expire?
The CMS file lists March 16, 2028 as the certificate expiration date; the certificate took effect March 17, 2026.