CLIA lab

CLIA 24D2232997: Bethel Pavilion Homecare LLC

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

CLIA number 24D2232997 belongs to Bethel Pavilion Homecare LLC in Brooklyn Park, MN.

Certificate of Waiver, effective August 19, 2025, expires August 18, 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
August 19, 2025
Certificate expiration
August 18, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
August 19, 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
24D2232997
Lab name
Bethel Pavilion Homecare LLC
Address
7535 Douglas Drive North, Brooklyn Park, MN 55443
Phone
(763) 501-3737
Fax
(763) 999-4556

Annual test volume the lab reported

Waived tests
850

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

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Related

Questions

What is the CLIA number for Bethel Pavilion Homecare LLC in Brooklyn Park?

24D2232997, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Bethel Pavilion Homecare LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2232997 expire?

The CMS file lists August 18, 2027 as the certificate expiration date; the certificate took effect August 19, 2025.

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