CLIA lab

CLIA 24D2344204: Graceful Homes LLC

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

CLIA number 24D2344204 belongs to Graceful Homes LLC in Shakopee, MN.

Certificate of Waiver, effective May 19, 2026, expires May 18, 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 19, 2026
Certificate expiration
May 18, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
May 19, 2026
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
24D2344204
Lab name
Graceful Homes LLC
Address
1742 Caspian Lane, Shakopee, MN 55379
Phone
(612) 220-1130

Annual test volume the lab reported

Waived tests
60

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

Other labs in Shakopee, MN

Related

Questions

What is the CLIA number for Graceful Homes LLC in Shakopee?

24D2344204, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Graceful Homes LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2344204 expire?

The CMS file lists May 18, 2028 as the certificate expiration date; the certificate took effect May 19, 2026.

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