CLIA lab
CLIA 24D2293687: Mary T Inc Kentucky
Crystal, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2293687 belongs to Mary T Inc Kentucky in Crystal, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
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
- 24D2293687
- Lab name
- Mary T Inc Kentucky
- Address
- 5330 Kentucky Ave, Crystal, MN 55428
- 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 Crystal, MN
- Amazing Love, LLCCertificate of Waiver, Assisted living facility24D1061114
- American Volunteer Homes LLCCertificate of Waiver, Assisted living facility24D2311064
- Azalea Homes LLCCertificate of Waiver, Assisted living facility24D2298167
- Bayside Customized Living LLCCertificate of Waiver, Assisted living facility24D2331401
- Belevo Health ServicesCertificate of Waiver, Assisted living facility24D2279912
- Better Stay Homes LLCCertificate of Waiver, Assisted living facility24D2319995
- Bimsol Home Care LLCCertificate of Waiver, Assisted living facility24D2286571
- Careview Home HealthCertificate of Waiver, Home health agency24D2168463
- Chez Michael Care-RegentCertificate of Waiver, Assisted living facility24D2265248
- Crystal Vision ClinicCertificate of Waiver, Physician office24D2251825
Related
Questions
What is the CLIA number for Mary T Inc Kentucky in Crystal?
24D2293687, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mary T Inc Kentucky hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2293687 expire?
The CMS file lists November 13, 2027 as the certificate expiration date; the certificate took effect November 14, 2025.