CLIA lab
CLIA 24D1015624: Park Nicollet Dermatology
Saint Louis Park, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1015624 belongs to Park Nicollet Dermatology in Saint Louis Park, MN.
Certificate of Accreditation, effective September 14, 2026, expires September 13, 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
- September 14, 2026
- Certificate expiration
- September 13, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- August 11, 2003
- 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
- 24D1015624
- Lab name
- Park Nicollet Dermatology
- Address
- 3800 Park Nicollet Blvd - 4th Floor, Saint Louis Park, MN 55416
- Phone
- (952) 993-3260
- Fax
- (952) 993-0333
Annual test volume the lab reported
- Provider-performed microscopy tests
- 700
- Tests under accreditation
- 80,700
- Total
- 81,400
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 Dermatology in Saint Louis Park?
24D1015624, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Park Nicollet Dermatology hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 24D1015624 expire?
The CMS file lists September 13, 2028 as the certificate expiration date; the certificate took effect September 14, 2026.