CLIA lab
CLIA 24D2293738: Mary T Inc Woody Lane
Coon Rapids, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2293738 belongs to Mary T Inc Woody Lane in Coon Rapids, 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
- 24D2293738
- Lab name
- Mary T Inc Woody Lane
- Address
- 860 84th Ave NW, Coon Rapids, MN 55433
- 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.
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Related
Questions
What is the CLIA number for Mary T Inc Woody Lane in Coon Rapids?
24D2293738, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mary T Inc Woody Lane hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2293738 expire?
The CMS file lists November 13, 2027 as the certificate expiration date; the certificate took effect November 14, 2025.