CLIA lab

CLIA 24D0400823: Park Nicollet Clinic - Shakopee

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

CLIA number 24D0400823 belongs to Park Nicollet Clinic - Shakopee in Shakopee, MN.

Certificate of Accreditation, effective October 2, 2026, expires October 1, 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
October 2, 2026
Certificate expiration
October 1, 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
24D0400823
Lab name
Park Nicollet Clinic - Shakopee
Address
1415 St Francis Ave, Shakopee, MN 55379
Phone
(952) 993-7891
Fax
(952) 993-7808

Annual test volume the lab reported

Waived tests
573
Tests under accreditation
56,673
Total
57,246

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

Affiliated CLIA numbers

Other labs in Shakopee, MN

Related

Questions

What is the CLIA number for Park Nicollet Clinic - Shakopee in Shakopee?

24D0400823, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Park Nicollet Clinic - Shakopee hold?

A Certificate of Accreditation, according to the CMS file.

When does CLIA 24D0400823 expire?

The CMS file lists October 1, 2028 as the certificate expiration date; the certificate took effect October 2, 2026.

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