CLIA lab
CLIA 24D1088674: Park Nicollet Clinic - ST Louis Park
Saint Louis Park, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1088674 belongs to Park Nicollet Clinic - ST Louis Park in Saint Louis Park, MN.
Certificate of Waiver, effective September 2, 2026, expires September 1, 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
- September 2, 2026
- Certificate expiration
- September 1, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 2, 2008
- Facility type
- Mobile lab
- 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
- 24D1088674
- Lab name
- Park Nicollet Clinic - ST Louis Park
- Address
- 3900 Park Nicollet Blvd, Saint Louis Park, MN 55416
- Phone
- (952) 993-3128
- Fax
- (952) 993-2819
Annual test volume the lab reported
- Waived tests
- 7,000
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 - ST Louis Park in Saint Louis Park?
24D1088674, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Park Nicollet Clinic - ST Louis Park hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D1088674 expire?
The CMS file lists September 1, 2028 as the certificate expiration date; the certificate took effect September 2, 2026.