CLIA lab
CLIA 24D0984755: Park Nicollet Clinic - Creekside
Saint Louis Park, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D0984755 belongs to Park Nicollet Clinic - Creekside in Saint Louis Park, MN.
Certificate of Waiver, effective February 17, 2026, expires February 16, 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
- February 17, 2026
- Certificate expiration
- February 16, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 29, 2001
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 24D0984755
- Lab name
- Park Nicollet Clinic - Creekside
- Address
- 6600 Excelsior Blvd, #160, Saint Louis Park, MN 55426
- Phone
- (952) 993-6513
- Fax
- (952) 993-6539
Annual test volume the lab reported
- Waived tests
- 305
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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Related
Questions
What is the CLIA number for Park Nicollet Clinic - Creekside in Saint Louis Park?
24D0984755, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Park Nicollet Clinic - Creekside hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D0984755 expire?
The CMS file lists February 16, 2028 as the certificate expiration date; the certificate took effect February 17, 2026.