CLIA lab

CLIA 24D2209686: BSC - Maple Grove Occ Health Center

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

CLIA number 24D2209686 belongs to BSC - Maple Grove Occ Health Center in Maple Grove, MN.

Certificate of Waiver, effective January 15, 2025, expires January 14, 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 15, 2025
Certificate expiration
January 14, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
January 15, 2021
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
2

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
24D2209686
Lab name
BSC - Maple Grove Occ Health Center
Address
1 Sci Med Place Ms A170, Maple Grove, MN 55311
Phone
(952) 698-9860
Fax
(612) 930-0106

Annual test volume the lab reported

Waived tests
100

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

Affiliated CLIA numbers

Other labs in Maple Grove, MN

Related

Questions

What is the CLIA number for BSC - Maple Grove Occ Health Center in Maple Grove?

24D2209686, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does BSC - Maple Grove Occ Health Center hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2209686 expire?

The CMS file lists January 14, 2027 as the certificate expiration date; the certificate took effect January 15, 2025.

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