CLIA lab

CLIA 24D0666570: Park Nicollet Clinic - Plymouth

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

CLIA number 24D0666570 belongs to Park Nicollet Clinic - Plymouth in Plymouth, 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
1

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

Lab and contact

CLIA number
24D0666570
Lab name
Park Nicollet Clinic - Plymouth
Address
4155 County Road 101, Plymouth, MN 55446
Phone
(952) 993-8940
Fax
(952) 993-8994

Annual test volume the lab reported

Waived tests
25
Tests under accreditation
23,864
Total
23,889

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 Park Nicollet Clinic - Plymouth in Plymouth?

24D0666570, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Park Nicollet Clinic - Plymouth hold?

A Certificate of Accreditation, according to the CMS file.

When does CLIA 24D0666570 expire?

The CMS file lists April 17, 2028 as the certificate expiration date; the certificate took effect April 18, 2026.

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