CLIA lab
CLIA 24D2289093: Ebony Home
Apple Valley, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2289093 belongs to Ebony Home in Apple Valley, MN.
Certificate of Waiver, effective September 6, 2025, expires September 5, 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
- September 6, 2025
- Certificate expiration
- September 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 6, 2023
- 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
- 24D2289093
- Lab name
- Ebony Home
- Address
- 14331 Ebony Lane, Apple Valley, MN 55124
- Phone
- (952) 220-1967
Annual test volume the lab reported
- Waived tests
- 1,095
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Apple Valley, MN
- Allina Health Apple Valley ClinicCertificate of Accreditation, Community clinic24D0399855
- Amazing Grace Care LLCCertificate of Waiver, Assisted living facility24D2329940
- Apple Valley VillaCertificate of Waiver, Assisted living facility24D2000359
- Arcpoint Labs of Apple ValleyCertificate of Waiver, Independent24D2140384
- Augustana Health Care Center of Apple ValleyCertificate of Waiver, Skilled nursing or nursing facility24D0399858
- Augustana Open Circle of Apple ValleyCertificate of Waiver, Other24D2261230
- Bayview Case ManagementCertificate of Waiver, Assisted living facility24D2225863
- Bright Haven LLCCertificate of Waiver, Assisted living facility24D2344715
- Cub Pharmacy #1604Certificate of Waiver, Pharmacy24D1067469
- Dakota County Public Health Dept - Wic ProgramCertificate of Waiver, Other24D0858760
Related
Questions
What is the CLIA number for Ebony Home in Apple Valley?
24D2289093, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Ebony Home hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2289093 expire?
The CMS file lists September 5, 2027 as the certificate expiration date; the certificate took effect September 6, 2025.