CLIA lab
CLIA 24D2304328: Providence Health Care Services
Blaine, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2304328 belongs to Providence Health Care Services in Blaine, MN.
Certificate of Waiver, effective May 10, 2026, expires May 9, 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
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
- May 10, 2026
- Certificate expiration
- May 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 10, 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
- 24D2304328
- Lab name
- Providence Health Care Services
- Address
- 781 103rd Ave NE, Blaine, MN 55434
- Phone
- (612) 456-2773
- Fax
- (763) 374-4469
Annual test volume the lab reported
- Waived tests
- 1,095
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Blaine, MN
- Adequate Home Care LLCCertificate of Waiver, Assisted living facility24D2189175
- Allina Health Blaine ClinicCertificate of Waiver, Community clinic24D1097783
- American Current Care of Minnesota, PACertificate of Waiver, Physician office24D2126808
- Ascendcare Home Health Solutions LLCCertificate of Waiver, Home health agency24D2315230
- Associated Skin Care SpecialistsCertificate for Provider-Performed Microscopy Procedures, Physician office24D0680318
- Blaine ASC LLCCertificate of Waiver, Ambulatory surgery center24D2147126
- Blaine Eye ClinicCertificate of Waiver, Physician office24D2228198
- Blaine Health Services LLCCertificate of Waiver, Assisted living facility24D2330930
- Blaine WP II, LLCCertificate of Waiver, Assisted living facility24D2097108
- Blaine White PineCertificate of Waiver, Assisted living facility24D2050105
Related
Questions
What is the CLIA number for Providence Health Care Services in Blaine?
24D2304328, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Providence Health Care Services hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2304328 expire?
The CMS file lists May 9, 2028 as the certificate expiration date; the certificate took effect May 10, 2026.