CLIA lab

CLIA 24D2331401: Bayside Customized Living LLC

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

CLIA number 24D2331401 belongs to Bayside Customized Living LLC in Crystal, MN.

Certificate of Waiver, effective October 1, 2025, expires September 30, 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
October 1, 2025
Certificate expiration
September 30, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 1, 2025
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
24D2331401
Lab name
Bayside Customized Living LLC
Address
6619 50th Ave N, Crystal, MN 55428
Phone
(612) 730-0983
Fax
(952) 487-4284

Annual test volume the lab reported

Waived tests
2,700

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 Bayside Customized Living LLC in Crystal?

24D2331401, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Bayside Customized Living LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2331401 expire?

The CMS file lists September 30, 2027 as the certificate expiration date; the certificate took effect October 1, 2025.

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