CLIA lab
CLIA 24D2185890: Grand ST Paul CVS, LLC DBA Cvs/Pharmacy #4696
Rogers, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2185890 belongs to Grand ST Paul CVS, LLC DBA Cvs/Pharmacy #4696 in Rogers, MN.
Certificate of Waiver, effective June 11, 2026, expires June 10, 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
- June 11, 2026
- Certificate expiration
- June 10, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 11, 2020
- Facility type
- Pharmacy
- 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
- 24D2185890
- Lab name
- Grand ST Paul CVS, LLC DBA Cvs/Pharmacy #4696
- Address
- 21455 John Milless Drive, Rogers, MN 55374
- Phone
- (401) 770-6431
- Fax
- (401) 216-0381
Annual test volume the lab reported
- Waived tests
- 13,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Rogers, MN
- Any Lab Test NowCertificate of Waiver, Other24D2309685
- Children's Clinic NetworkCertificate of Accreditation, Physician office24D1015199
- Cub Pharmacy #1940Certificate of Waiver, Pharmacy24D1067662
- Diamondcrest Senior LivingCertificate of Waiver, Assisted living facility24D2228393
- Embarc WellnessCertificate of Waiver, Other practitioner24D2320308
- Fairview Clinics Rogers ClinicCertificate of Accreditation, Community clinic24D1062171
- Forefront Dermatology, SCCertificate of Compliance, Physician office24D2100992
- Laborers Health & Wellness Clinics - RogersCertificate of Waiver, Physician office24D2191760
- Midwest Healthcare Groups PLLCCertificate of Waiver, Other24D2037315
- New Life Global IncCertificate of Waiver, Home health agency24D2177674
Related
Questions
What is the CLIA number for Grand ST Paul CVS, LLC DBA Cvs/Pharmacy #4696 in Rogers?
24D2185890, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Grand ST Paul CVS, LLC DBA Cvs/Pharmacy #4696 hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2185890 expire?
The CMS file lists June 10, 2028 as the certificate expiration date; the certificate took effect June 11, 2026.