CLIA lab

CLIA 24D2304849: JS and Y Assisted Living - Maple Grove

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

CLIA number 24D2304849 belongs to JS and Y Assisted Living - Maple Grove in Maple Grove, MN.

Certificate of Waiver, effective May 21, 2026, expires May 20, 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
May 21, 2026
Certificate expiration
May 20, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 21, 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
24D2304849
Lab name
JS and Y Assisted Living - Maple Grove
Address
8915 Vinewood Lane N, Maple Grove, MN 55369
Phone
(763) 898-3055
Fax
(763) 568-7636

Annual test volume the lab reported

Waived tests
1,500

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 JS and Y Assisted Living - Maple Grove in Maple Grove?

24D2304849, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does JS and Y Assisted Living - Maple Grove hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2304849 expire?

The CMS file lists May 20, 2028 as the certificate expiration date; the certificate took effect May 21, 2026.

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