CLIA lab
CLIA 24D1021702: Park Nicollet Clinic Dermatology Department
Burnsville, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1021702 belongs to Park Nicollet Clinic Dermatology Department in Burnsville, MN.
Certificate of Accreditation, effective July 26, 2025, expires July 25, 2027.
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
- July 26, 2025
- Certificate expiration
- July 25, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- January 30, 2004
- Facility type
- Physician office
- Ownership (control type)
- Private
- Lab classification
- CLIA laboratory
- Accrediting organizations
- College of American Pathologists (CAP)
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 24D1021702
- Lab name
- Park Nicollet Clinic Dermatology Department
- Address
- 14000 Fairview Dr, Burnsville, MN 55337
- Phone
- (952) 993-1822
Annual test volume the lab reported
- Provider-performed microscopy tests
- 100
- Tests under accreditation
- 100
- Total
- 200
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Burnsville, MN
- Abria DetoxCertificate of Waiver, Other24D2336119
- Abria Recovery, LLCCertificate of Waiver, Other practitioner24D2254981
- Acacia Grove Assisted Living LLCCertificate of Waiver, Assisted living facility24D2334605
- Alabaster HealthcareCertificate of Waiver, Physician office24D2319571
- Amnion Women's CenterCertificate of Waiver, Other24D1040143
- Angels HomesCertificate of Waiver, Assisted living facility24D2169047
- Angels Homes, LLCCertificate of Waiver, Assisted living facility24D2236019
- Arbor LaneCertificate of Waiver, Assisted living facility24D1032374
- Arbors at RidgesCertificate of Waiver, Assisted living facility24D2099390
- Arijai Aesthietics and WellnessCertificate of Waiver, Physician office24D2117780
Related
Questions
What is the CLIA number for Park Nicollet Clinic Dermatology Department in Burnsville?
24D1021702, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Park Nicollet Clinic Dermatology Department hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 24D1021702 expire?
The CMS file lists July 25, 2027 as the certificate expiration date; the certificate took effect July 26, 2025.