CLIA lab
CLIA 24D0400769: Park Nicollet Clinic - Prior Lake
Prior Lake, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D0400769 belongs to Park Nicollet Clinic - Prior Lake in Prior Lake, MN.
Certificate of Accreditation, effective April 18, 2026, expires April 17, 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 Accreditation
- Certificate effective
- April 18, 2026
- Certificate expiration
- April 17, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Accrediting organizations
- College of American Pathologists (CAP)
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 24D0400769
- Lab name
- Park Nicollet Clinic - Prior Lake
- Address
- 4670 Park Nicollet Avenue SE, Prior Lake, MN 55372
- Phone
- (952) 993-8809
- Fax
- (952) 993-8820
Annual test volume the lab reported
- Waived tests
- 68
- Tests under accreditation
- 16,244
- Total
- 16,312
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Prior Lake, MN
- Alpha Women's CenterCertificate of Waiver, Other24D2100690
- Balanced Kids HealthCertificate of Waiver, Other24D2341489
- Community Home Health, IncCertificate of Waiver, Home health agency24D0892709
- Fairview Clinics Prior Lake ClinicCertificate of Accreditation, Physician office24D0907190
- Goldsmith Eye Care PCCertificate of Waiver, Physician office24D2164785
- Lakeside Family Eye CareCertificate of Waiver, Physician office24D2249464
- Living Hope Homes - Peaceful PinesCertificate of Waiver, Assisted living facility24D2300943
- Mdewakanton Public SafetyCertificate of Waiver, Ambulance24D1013651
- New Perspective Prior LakeCertificate of Waiver, Assisted living facility24D1015404
- Norbella Prior LakeCertificate of Waiver, Assisted living facility24D2233636
Related
Questions
What is the CLIA number for Park Nicollet Clinic - Prior Lake in Prior Lake?
24D0400769, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Park Nicollet Clinic - Prior Lake hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 24D0400769 expire?
The CMS file lists April 17, 2028 as the certificate expiration date; the certificate took effect April 18, 2026.