CLIA lab
CLIA 24D2269365: Obed Edom Assisted LLC
Fridley, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2269365 belongs to Obed Edom Assisted LLC in Fridley, MN.
Certificate of Waiver, effective September 26, 2026, expires September 25, 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 26, 2026
- Certificate expiration
- September 25, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 26, 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
- 24D2269365
- Lab name
- Obed Edom Assisted LLC
- Address
- 7388 Symphony St NE, Fridley, MN 55432
- Phone
- (612) 501-7370
Annual test volume the lab reported
- Waived tests
- 365
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Associated Skin Care Specialists Pa-FridleyCertificate of Compliance, Physician office24D0677251
- Bright Path Homes, LLCCertificate of Waiver, Home health agency24D2209696
- Carechoice Homes, LLCCertificate of Waiver, Assisted living facility24D2273394
- Carestay Homes LLCCertificate of Waiver, Assisted living facility24D2201561
- Cham Clinic LLCCertificate of Waiver, Other24D2199398
- Champions Village LLCCertificate of Waiver, Assisted living facility24D2213426
- Child and Teen Medical CenterCertificate of Accreditation, Physician office24D0402828
- Cub Pharmacy # 1630Certificate of Waiver, Pharmacy24D1067685
Related
Questions
What is the CLIA number for Obed Edom Assisted LLC in Fridley?
24D2269365, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Obed Edom Assisted LLC hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2269365 expire?
The CMS file lists September 25, 2028 as the certificate expiration date; the certificate took effect September 26, 2026.