CLIA lab

CLIA 24D2302049: Safe Harbor Residential Care Home

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

CLIA number 24D2302049 belongs to Safe Harbor Residential Care Home in Apple Valley, MN.

Certificate of Waiver, effective April 4, 2026, expires April 3, 2028.

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
April 4, 2026
Certificate expiration
April 3, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 4, 2024
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
24D2302049
Lab name
Safe Harbor Residential Care Home
Address
13607 Fordham Ave, Apple Valley, MN 55124
Phone
(952) 451-9469
Fax
(952) 213-1017

Annual test volume the lab reported

Waived tests
365

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

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Questions

What is the CLIA number for Safe Harbor Residential Care Home in Apple Valley?

24D2302049, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Safe Harbor Residential Care Home hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2302049 expire?

The CMS file lists April 3, 2028 as the certificate expiration date; the certificate took effect April 4, 2026.

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