CLIA lab

CLIA 24D2291791: Evergreen Assisted Living Homes Inc

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

CLIA number 24D2291791 belongs to Evergreen Assisted Living Homes Inc in Chanhassen, MN.

Certificate of Waiver, effective October 16, 2025, expires October 15, 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
October 16, 2025
Certificate expiration
October 15, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 16, 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
24D2291791
Lab name
Evergreen Assisted Living Homes Inc
Address
1215 Lake Lucy Road, Chanhassen, MN 55317
Phone
(651) 280-0210
Fax
(612) 500-4948

Annual test volume the lab reported

Waived tests
5,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Chanhassen, MN

Related

Questions

What is the CLIA number for Evergreen Assisted Living Homes Inc in Chanhassen?

24D2291791, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Evergreen Assisted Living Homes Inc hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2291791 expire?

The CMS file lists October 15, 2027 as the certificate expiration date; the certificate took effect October 16, 2025.

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