CLIA lab

CLIA 24D2239046: Mngi Endoscopy Maple Grove

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

CLIA number 24D2239046 belongs to Mngi Endoscopy Maple Grove in Maple Grove, MN.

Certificate of Waiver, effective October 8, 2025, expires October 7, 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
October 8, 2025
Certificate expiration
October 7, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 8, 2021
Facility type
Physician office
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
24D2239046
Lab name
Mngi Endoscopy Maple Grove
Address
10150 Niagara Lane North, Maple Grove, MN 55369
Phone
(612) 290-4557
Fax
(612) 435-5853

Annual test volume the lab reported

Waived tests
360

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

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Questions

What is the CLIA number for Mngi Endoscopy Maple Grove in Maple Grove?

24D2239046, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Mngi Endoscopy Maple Grove hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2239046 expire?

The CMS file lists October 7, 2027 as the certificate expiration date; the certificate took effect October 8, 2025.

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