CLIA lab
CLIA 24D2293654: Mary T Associates, Inc Lilac Lane
Shoreview, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2293654 belongs to Mary T Associates, Inc Lilac Lane in Shoreview, MN.
Certificate of Waiver, effective November 13, 2025, expires November 12, 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
- November 13, 2025
- Certificate expiration
- November 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 13, 2023
- Facility type
- Other
- 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
- 24D2293654
- Lab name
- Mary T Associates, Inc Lilac Lane
- Address
- 360 Lilac Lane, Shoreview, MN 55126
- Phone
- (763) 754-2505
- Fax
- (763) 401-8305
Annual test volume the lab reported
- Waived tests
- 90
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Shoreview, MN
- Allina Health Shoreview ClinicCertificate of Accreditation, Physician office24D0399940
- Arthur's Senior Care - EmmertCertificate of Waiver, Assisted living facility24D2116392
- Caridigan Ridge Senior LivingCertificate of Waiver, Assisted living facility24D2128508
- Dungarvin Minnesota LLC - CamaraCertificate of Waiver, Other24D2069388
- Ecumen HospiceCertificate of Waiver, Hospice24D2122194
- Entira Family Clinics ShoreviewCertificate of Accreditation, Physician office24D1050355
- Family Tree Care HomesCertificate of Waiver, Assisted living facility24D2293616
- Kindheart Care Home IncCertificate of Waiver, Assisted living facility24D2174550
- Lake Owasso ResidenceCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities24D1059187
- Lifelink IIICertificate of Compliance, Mobile lab24D0724410
Related
Questions
What is the CLIA number for Mary T Associates, Inc Lilac Lane in Shoreview?
24D2293654, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mary T Associates, Inc Lilac Lane hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2293654 expire?
The CMS file lists November 12, 2027 as the certificate expiration date; the certificate took effect November 13, 2025.