CLIA lab
CLIA 24D0960663: Park Nicollet Clinic and Specialty Center
Maple Grove, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D0960663 belongs to Park Nicollet Clinic and Specialty Center in Maple Grove, MN.
Certificate of Accreditation, effective October 10, 2026, expires October 9, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Accreditation
- Certificate effective
- October 10, 2026
- Certificate expiration
- October 9, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 17, 1999
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Accrediting organizations
- College of American Pathologists (CAP)
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 24D0960663
- Lab name
- Park Nicollet Clinic and Specialty Center
- Address
- 9555 Upland Lane North, Maple Grove, MN 55369
- Phone
- (952) 993-1448
- Fax
- (952) 993-2220
Annual test volume the lab reported
- Waived tests
- 310
- Tests under accreditation
- 28,489
- Total
- 28,799
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Maple Grove, MN
- 1 on 1 Comprehensive Healthcare SolutionCertificate of Waiver, Assisted living facility24D2280150
- Acr MagnoliaCertificate of Waiver, Other24D1053133
- Advent Maple GroveCertificate of Waiver, Physician office24D2297819
- Agape Home Care ServicesCertificate of Waiver, Assisted living facility24D2315635
- Alliance Assisted Living Services LLCCertificate of Waiver, Assisted living facility24D2336152
- Allina Health Maple GroveCertificate of Waiver, Community clinic24D0400724
- Almara Women's Health Ogi-MgCertificate for Provider-Performed Microscopy Procedures, Physician office24D0900330
- Arbor Lakes Senior LivingCertificate of Waiver, Assisted living facility24D2015826
- Arbor Lakes Senior Living IICertificate of Waiver, Assisted living facility24D2230076
- Arthritis & Rheumatology Consultants PACertificate of Compliance, Physician office24D2061345
Related
Questions
What is the CLIA number for Park Nicollet Clinic and Specialty Center in Maple Grove?
24D0960663, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Park Nicollet Clinic and Specialty Center hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 24D0960663 expire?
The CMS file lists October 9, 2028 as the certificate expiration date; the certificate took effect October 10, 2026.