CLIA lab
CLIA 24D1000770: Park Nicollet Clinic
Shakopee, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1000770 belongs to Park Nicollet Clinic in Shakopee, 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 21, 2002
- 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
- 24D1000770
- Lab name
- Park Nicollet Clinic
- Address
- 1515 St Francis Ave, Suite 200, Shakopee, MN 55379
- Phone
- (952) 993-3186
Annual test volume the lab reported
- Waived tests
- 300
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Shakopee, MN
- 3MB Health Services LLCCertificate of Waiver, Home health agency24D2294282
- Aj Home Health Care IncCertificate of Waiver, Home health agency24D2299774
- All Saints Senior Living, LLCCertificate of Waiver, Assisted living facility24D2066862
- Allina Health Dean Lakes ClinicCertificate of Waiver, Community clinic24D0400833
- Allina Health Shakopee ClinicCertificate of Waiver, Community clinic24D0974420
- Augustana Emerald Care of ShakopeeCertificate of Waiver, Assisted living facility24D1029904
- Benedictine Living Community of ShakopeeCertificate of Waiver, Assisted living facility24D2178387
- Bloomington Wellness Center - ShakopeeCertificate of Waiver, Other practitioner24D2194334
- Cascade DiagnosticsCertificate of Registration, Independent24D2340499
- Concentra Medical Centers - ShakopeeCertificate of Waiver, Physician office24D2347572
Related
Questions
What is the CLIA number for Park Nicollet Clinic in Shakopee?
24D1000770, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Park Nicollet Clinic hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1000770 expire?
The CMS file lists June 20, 2028 as the certificate expiration date; the certificate took effect June 21, 2026.