CLIA lab

CLIA 24D2350832: Grace Suites LLC

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

CLIA number 24D2350832 belongs to Grace Suites LLC in Plymouth, MN.

Certificate of Waiver, effective September 16, 2026, expires September 15, 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
September 16, 2026
Certificate expiration
September 15, 2028
Status in the CMS file
Active (termination code 00)
Original participation date
September 16, 2026
Facility type
Assisted living facility
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Directly affiliated labs
1

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
24D2350832
Lab name
Grace Suites LLC
Address
12630 15th Ave N, Plymouth, MN 55441
Phone
(612) 865-9080

Annual test volume the lab reported

Waived tests
730

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

Affiliated CLIA numbers

Other labs in Plymouth, MN

Related

Questions

What is the CLIA number for Grace Suites LLC in Plymouth?

24D2350832, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Grace Suites LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 24D2350832 expire?

The CMS file lists September 15, 2028 as the certificate expiration date; the certificate took effect September 16, 2026.

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