CLIA lab
CLIA 24D2213426: Champions Village LLC
Fridley, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2213426 belongs to Champions Village LLC in Fridley, MN.
Certificate of Waiver, effective February 12, 2025, expires February 11, 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
- February 12, 2025
- Certificate expiration
- February 11, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 12, 2021
- 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
- 24D2213426
- Lab name
- Champions Village LLC
- Address
- 7899 Alden Way NE, Fridley, MN 55432
- Phone
- (612) 817-5100
- Fax
- (612) 500-4677
Annual test volume the lab reported
- Waived tests
- 4,000
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Allina Health Fridley ClinicCertificate of Waiver, Physician office24D0402831
- Associated Skin Care Specialists Pa-FridleyCertificate of Compliance, Physician office24D0677251
- Bright Path Homes, LLCCertificate of Waiver, Home health agency24D2209696
- Carechoice Homes, LLCCertificate of Waiver, Assisted living facility24D2273394
- Carestay Homes LLCCertificate of Waiver, Assisted living facility24D2201561
- Cham Clinic LLCCertificate of Waiver, Other24D2199398
- Child and Teen Medical CenterCertificate of Accreditation, Physician office24D0402828
- Cub Pharmacy # 1630Certificate of Waiver, Pharmacy24D1067685
- East River Road DialysisCertificate of Waiver, End stage renal disease dialysis facility24D1075109
Related
Questions
What is the CLIA number for Champions Village LLC in Fridley?
24D2213426, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Champions Village LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2213426 expire?
The CMS file lists February 11, 2027 as the certificate expiration date; the certificate took effect February 12, 2025.