CLIA lab

CLIA 24D2201438: Rose Arbor and Wildflower Lodge

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

CLIA number 24D2201438 belongs to Rose Arbor and Wildflower Lodge in Maple Grove, MN.

Certificate of Waiver, effective November 20, 2024, expires November 19, 2026.

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
November 20, 2024
Certificate expiration
November 19, 2026
Status in the CMS file
Active (termination code 00)
Original participation date
November 20, 2020
Facility type
Assisted living facility
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
24D2201438
Lab name
Rose Arbor and Wildflower Lodge
Address
16500 92nd Ave N, Maple Grove, MN 55311
Phone
(763) 447-6575
Fax
(763) 420-5728

Annual test volume the lab reported

Waived tests
15,000

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

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Related

Questions

What is the CLIA number for Rose Arbor and Wildflower Lodge in Maple Grove?

24D2201438, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Rose Arbor and Wildflower Lodge hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2201438 expire?

The CMS file lists November 19, 2026 as the certificate expiration date; the certificate took effect November 20, 2024.

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