CLIA lab

CLIA 24D2184146: Transformation House II

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

CLIA number 24D2184146 belongs to Transformation House II in Fridley, MN.

Certificate of Waiver, effective May 15, 2026, expires May 14, 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
May 15, 2026
Certificate expiration
May 14, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 15, 2020
Facility type
Other
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
24D2184146
Lab name
Transformation House II
Address
361 74th Ave NE, Fridley, MN 55432
Phone
(763) 427-7155
Fax
(763) 427-6084

Annual test volume the lab reported

Waived tests
2,000

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

Other labs in Fridley, MN

Related

Questions

What is the CLIA number for Transformation House II in Fridley?

24D2184146, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Transformation House II hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2184146 expire?

The CMS file lists May 14, 2028 as the certificate expiration date; the certificate took effect May 15, 2026.

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