CLIA lab

CLIA 24D2303332: Kangars Residential Home LLC

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

CLIA number 24D2303332 belongs to Kangars Residential Home LLC in Fridley, MN.

Certificate of Waiver, effective April 24, 2026, expires April 23, 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 24, 2026
Certificate expiration
April 23, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 24, 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
24D2303332
Lab name
Kangars Residential Home LLC
Address
141 64 1/2 Way NE, Fridley, MN 55432
Phone
(763) 264-5001
Fax
(763) 264-5001

Annual test volume the lab reported

Waived tests
100

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

Other labs in Fridley, MN

Related

Questions

What is the CLIA number for Kangars Residential Home LLC in Fridley?

24D2303332, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Kangars Residential Home LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2303332 expire?

The CMS file lists April 23, 2028 as the certificate expiration date; the certificate took effect April 24, 2026.

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