CLIA lab

CLIA 24D2235601: 63rd House

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

CLIA number 24D2235601 belongs to 63rd House in Brooklyn Center, MN.

Certificate of Waiver, effective September 10, 2025, expires September 9, 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
September 10, 2025
Certificate expiration
September 9, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
September 10, 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
24D2235601
Lab name
63rd House
Address
4213 63rd Avenue North, Brooklyn Center, MN 55429
Phone
(763) 270-5771
Fax
(763) 657-0252

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.

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Related

Questions

What is the CLIA number for 63rd House in Brooklyn Center?

24D2235601, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does 63rd House hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2235601 expire?

The CMS file lists September 9, 2027 as the certificate expiration date; the certificate took effect September 10, 2025.

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