CLIA lab

CLIA 24D2342493: Vine Integrative Healthcare

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

CLIA number 24D2342493 belongs to Vine Integrative Healthcare in Maple Grove, MN.

Certificate of Waiver, effective April 21, 2026, expires April 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
April 21, 2026
Certificate expiration
April 20, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
April 21, 2026
Facility type
Physician office
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
24D2342493
Lab name
Vine Integrative Healthcare
Address
13784 83rd Way North, Ste 92, Maple Grove, MN 55369
Phone
(763) 494-0828
Fax
(888) 260-0072

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 Vine Integrative Healthcare in Maple Grove?

24D2342493, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Vine Integrative Healthcare hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2342493 expire?

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

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