CLIA lab

CLIA 24D2332992: Maple Grove Children's Surgery Center, LLC

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

CLIA number 24D2332992 belongs to Maple Grove Children's Surgery Center, LLC in Maplewood, MN.

Certificate of Waiver, effective October 28, 2025, expires October 27, 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 28, 2025
Certificate expiration
October 27, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 28, 2025
Facility type
Ambulatory surgery center
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
24D2332992
Lab name
Maple Grove Children's Surgery Center, LLC
Address
1997 Sloan Place, Suite 30, Maplewood, MN 55117
Phone
(480) 302-0204

Annual test volume the lab reported

Waived tests
150

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

Other labs in Maplewood, MN

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Questions

What is the CLIA number for Maple Grove Children's Surgery Center, LLC in Maplewood?

24D2332992, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Maple Grove Children's Surgery Center, LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2332992 expire?

The CMS file lists October 27, 2027 as the certificate expiration date; the certificate took effect October 28, 2025.

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