CLIA lab
CLIA 24D2286616: Children's MN Gynecology - Maple Grove
Maple Grove, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2286616 belongs to Children's MN Gynecology - Maple Grove in Maple Grove, MN.
Certificate of Waiver, effective August 1, 2025, expires July 31, 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
- August 1, 2025
- Certificate expiration
- July 31, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 1, 2023
- Facility type
- Other practitioner
- Ownership (control type)
- Private
- 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
- 24D2286616
- Lab name
- Children's MN Gynecology - Maple Grove
- Address
- 12720 Bass Lake Rd, Suite C, Maple Grove, MN 55369
- Phone
- (651) 220-5999
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Acr MagnoliaCertificate of Waiver, Other24D1053133
- Advent Maple GroveCertificate of Waiver, Physician office24D2297819
- Agape Home Care ServicesCertificate of Waiver, Assisted living facility24D2315635
- Alliance Assisted Living Services LLCCertificate of Waiver, Assisted living facility24D2336152
- Allina Health Maple GroveCertificate of Waiver, Community clinic24D0400724
- Almara Women's Health Ogi-MgCertificate for Provider-Performed Microscopy Procedures, Physician office24D0900330
- Arbor Lakes Senior LivingCertificate of Waiver, Assisted living facility24D2015826
- Arbor Lakes Senior Living IICertificate of Waiver, Assisted living facility24D2230076
- Arthritis & Rheumatology Consultants PACertificate of Compliance, Physician office24D2061345
Related
Questions
What is the CLIA number for Children's MN Gynecology - Maple Grove in Maple Grove?
24D2286616, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Children's MN Gynecology - Maple Grove hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2286616 expire?
The CMS file lists July 31, 2027 as the certificate expiration date; the certificate took effect August 1, 2025.