CLIA lab
CLIA 24D2222034: Minnesota Vitality and Anti Aging Center
Forest Lake, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2222034 belongs to Minnesota Vitality and Anti Aging Center in Forest Lake, MN.
Certificate of Waiver, effective April 27, 2025, expires April 26, 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
- April 27, 2025
- Certificate expiration
- April 26, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 27, 2021
- 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
- 24D2222034
- Lab name
- Minnesota Vitality and Anti Aging Center
- Address
- 25 N Lake Street #120, Forest Lake, MN 55025
- Phone
- (651) 374-4014
- Fax
- (651) 374-1019
Annual test volume the lab reported
- Waived tests
- 50
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Forest Lake, MN
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- Ailmend Health, LLCCertificate of Waiver, Other practitioner24D2342903
- Allina Health Forest Lake ClinicCertificate of Waiver, Community clinic24D0398200
- Amira Choice Forest Lake LLCCertificate of Waiver, Assisted living facility24D2096782
- Birchwood Arbors LLCCertificate of Waiver, Home health agency24D1031092
- Birchwood Health Care CenterCertificate of Waiver, Skilled nursing or nursing facility24D0672227
- Cub Pharmacy #1634Certificate of Waiver, Pharmacy24D1026912
- Evygabs Healthcare Systems LLCCertificate of Waiver, Assisted living facility24D2292517
- Lakes International Language AcademyCertificate of Waiver, School or student health service24D2233492
- Lakes Life Care CenterCertificate of Waiver, Community clinic24D0891414
Related
Questions
What is the CLIA number for Minnesota Vitality and Anti Aging Center in Forest Lake?
24D2222034, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Minnesota Vitality and Anti Aging Center hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2222034 expire?
The CMS file lists April 26, 2027 as the certificate expiration date; the certificate took effect April 27, 2025.