CLIA lab
CLIA 24D0916446: Park Nicollet - Central Community Clinic
Saint Louis Park, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D0916446 belongs to Park Nicollet - Central Community Clinic in Saint Louis Park, MN.
Certificate of Waiver, effective June 21, 2026, expires June 20, 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
- June 21, 2026
- Certificate expiration
- June 20, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 22, 1996
- Facility type
- Community clinic
- Ownership (control type)
- Other
- 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
- 24D0916446
- Lab name
- Park Nicollet - Central Community Clinic
- Address
- 6300 Walker Street Suite 228, Saint Louis Park, MN 55416
- Phone
- (952) 993-7717
- Fax
- (952) 993-7740
Annual test volume the lab reported
- Waived tests
- 5
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Saint Louis Park, MN
- Around the Clock Home Care Group LLCCertificate of Waiver, Home health agency24D0985484
- Brighton Hospice Minnesota LLCCertificate of Waiver, Hospice24D2076265
- Caring Sisters Home CareCertificate of Waiver, Home health agency24D1035149
- Cedar Ridge PlaceCertificate of Waiver, Assisted living facility24D2081431
- Children's MN Partners in PediatricsCertificate of Accreditation, Physician office24D0401675
- Comfort Care CenterCertificate of Waiver, Assisted living facility24D2266749
- Concerto Minnesota LLCCertificate of Waiver, End stage renal disease dialysis facility24D2303527
- Ct/Mri Imaging CenterCertificate of Waiver, Ancillary test site24D2077370
- Cub Pharmacy #1595Certificate of Waiver, Pharmacy24D2080074
- Cub Pharmacy #1924Certificate of Waiver, Pharmacy24D1067490
Related
Questions
What is the CLIA number for Park Nicollet - Central Community Clinic in Saint Louis Park?
24D0916446, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Park Nicollet - Central Community Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D0916446 expire?
The CMS file lists June 20, 2028 as the certificate expiration date; the certificate took effect June 21, 2026.