CLIA lab

CLIA 24D2209558: ST Jude Home Health, LLC

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

CLIA number 24D2209558 belongs to ST Jude Home Health, LLC in Champlin, MN.

Certificate of Waiver, effective January 14, 2025, expires January 13, 2027.

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
January 14, 2025
Certificate expiration
January 13, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 14, 2021
Facility type
Home health agency
Ownership (control type)
Private
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
24D2209558
Lab name
ST Jude Home Health, LLC
Address
6426 109th Place N, Champlin, MN 55316
Phone
(612) 245-5167
Fax
(952) 314-9282

Annual test volume the lab reported

Waived tests
180

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

Other labs in Champlin, MN

Related

Questions

What is the CLIA number for ST Jude Home Health, LLC in Champlin?

24D2209558, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does ST Jude Home Health, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2209558 expire?

The CMS file lists January 13, 2027 as the certificate expiration date; the certificate took effect January 14, 2025.

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