CLIA lab

CLIA 24D2268643: Camilia Rose Assisted Living,

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

CLIA number 24D2268643 belongs to Camilia Rose Assisted Living, 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
24D2268643
Lab name
Camilia Rose Assisted Living,
Additional name
Mary T Associates Inc
Address
11800 Xeon Blvd NW, Coon Rapids, MN 55448
Phone
(763) 746-3717
Fax
(763) 402-7558

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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Related

Questions

What is the CLIA number for Camilia Rose Assisted Living, in Coon Rapids?

24D2268643, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Camilia Rose Assisted Living, hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2268643 expire?

The CMS file lists September 14, 2028 as the certificate expiration date; the certificate took effect September 15, 2026.

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