CLIA lab
CLIA 24D2293686: Mary T, Inc. Andover Oaks
Andover, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2293686 belongs to Mary T, Inc. Andover Oaks in Andover, MN.
Certificate of Waiver, effective November 14, 2025, expires November 13, 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 14, 2025
- Certificate expiration
- November 13, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- November 14, 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
- 24D2293686
- Lab name
- Mary T, Inc. Andover Oaks
- Address
- 13635 Gladiola St. NW, Andover, MN 55304
- Phone
- (763) 754-2505
- Fax
- (763) 401-8308
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 Andover, MN
- Arbor Oaks of Andover, LLCCertificate of Waiver, Assisted living facility24D2060290
- Archlyn's Safe HavenCertificate of Waiver, Assisted living facility24D2350795
- Cherrywood of Andover 1889Certificate of Waiver, Assisted living facility24D2079441
- Cherrywood of Andover 1899Certificate of Waiver, Skilled nursing or nursing facility24D2091944
- Crosstown LandingCertificate of Waiver, Assisted living facility24D2348980
- Fairview Clinics Andover ClinicCertificate of Accreditation, Physician office24D0953063
- Golden Path Home Care Services, LLCCertificate of Waiver, Assisted living facility24D2278618
- Lakeview Homecare LLCCertificate of Waiver, Assisted living facility24D2331321
- Minuteclinic Diagnostic of Minnesota, PACertificate of Waiver, Other24D1042961
- Minuteclinic Primary Care-Minnesota, PLLC #27832Certificate of Waiver, Other24D2316716
Related
Questions
What is the CLIA number for Mary T, Inc. Andover Oaks in Andover?
24D2293686, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mary T, Inc. Andover Oaks hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2293686 expire?
The CMS file lists November 13, 2027 as the certificate expiration date; the certificate took effect November 14, 2025.