CLIA lab
CLIA 24D0400936: Park Nicollet Clinic - Wayzata
Wayzata, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D0400936 belongs to Park Nicollet Clinic - Wayzata in Wayzata, 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
- 1
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 24D0400936
- Lab name
- Park Nicollet Clinic - Wayzata
- Address
- 250 North Central Avenue, Suite #224, Wayzata, MN 55391
- Phone
- (952) 993-8232
- Fax
- (952) 993-8240
Annual test volume the lab reported
- Waived tests
- 397
- Tests under accreditation
- 43,768
- Total
- 44,165
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Wayzata, MN
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- Ecker Dermatology, PACertificate of Compliance, Physician office24D2302573
- Eden PathwaysCertificate of Waiver, Home health agency24D2173770
- Hammer Residences, IncCertificate of Waiver, Intermediate care facility for individuals with intellectual disabilities24D1068783
- Insight Internal MedicineCertificate of Waiver, Physician office24D2292288
- Lak MedspaCertificate of Waiver, Physician office24D2028846
- Northwest Eye Clinic, LLCCertificate of Waiver, Physician office24D2122617
- Oral Maxillofacial Surg Consultants, PACertificate of Waiver, Physician office24D1098395
- Park Nicollet Health ServicesCertificate of Registration, Ancillary test site24D2132715
- Skin Care Doctors P ACertificate of Compliance, Physician office24D1033819
Related
Questions
What is the CLIA number for Park Nicollet Clinic - Wayzata in Wayzata?
24D0400936, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Park Nicollet Clinic - Wayzata hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 24D0400936 expire?
The CMS file lists October 1, 2028 as the certificate expiration date; the certificate took effect October 2, 2026.