CLIA lab
CLIA 24D2268642: Creekside Villas, Mary T Associates Inc
Coon Rapids, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2268642 belongs to Creekside Villas, Mary T Associates Inc in Coon Rapids, MN.
Certificate of Waiver, effective September 15, 2026, expires September 14, 2028.
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 15, 2026
- Certificate expiration
- September 14, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 15, 2022
- 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
- 24D2268642
- Lab name
- Creekside Villas, Mary T Associates Inc
- Address
- 1177 117th Ave, Coon Rapids, MN 55448
- Phone
- (763) 754-6927
- Fax
- (763) 402-7565
Annual test volume the lab reported
- Waived tests
- 720
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Allina Health Coon Rapids ClinicCertificate of Accreditation, Physician office24D0402953
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- Associated Skin Care Specialists PA- Coon RapidsCertificate of Compliance, Physician office24D0680317
- Assurant Care Homes LLCCertificate of Waiver, Assisted living facility24D2177174
- Assurant Care Homes LLCCertificate of Waiver, Assisted living facility24D2283722
- Assurant Care Homes LLCCertificate of Waiver, Assisted living facility24D2283723
Related
Questions
What is the CLIA number for Creekside Villas, Mary T Associates Inc in Coon Rapids?
24D2268642, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Creekside Villas, Mary T Associates Inc hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2268642 expire?
The CMS file lists September 14, 2028 as the certificate expiration date; the certificate took effect September 15, 2026.