CLIA lab
CLIA 24D2202163: Prime Family Medical Clinic
North Oaks, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2202163 belongs to Prime Family Medical Clinic in North Oaks, MN.
Certificate of Waiver, effective November 25, 2024, expires November 24, 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 25, 2024
- Certificate expiration
- November 24, 2026
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 25, 2020
- Facility type
- Other practitioner
- 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
- 24D2202163
- Lab name
- Prime Family Medical Clinic
- Address
- 200 Village Center Dr Suite #800, North Oaks, MN 55127
- Phone
- (651) 219-8583
- Fax
- (651) 998-7788
Annual test volume the lab reported
- Waived tests
- 12,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in North Oaks, MN
- Momenta PCCertificate of Waiver, Other practitioner24D2339943
- North Metro DermatologyCertificate of Compliance, Physician office24D2061348
- North Oaks Memory CareCertificate of Waiver, Assisted living facility24D1028390
- Presbyterian Homes of North OaksCertificate of Waiver, Skilled nursing or nursing facility24D1050841
Related
Questions
What is the CLIA number for Prime Family Medical Clinic in North Oaks?
24D2202163, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Prime Family Medical Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2202163 expire?
The CMS file lists November 24, 2026 as the certificate expiration date; the certificate took effect November 25, 2024.