CLIA lab
CLIA 24D2072751: Park Nicollet Dermatology Department
Maple Grove, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2072751 belongs to Park Nicollet Dermatology Department in Maple Grove, MN.
Certificate of Accreditation, effective September 6, 2025, expires September 5, 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
- September 6, 2025
- Certificate expiration
- September 5, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- February 5, 2014
- 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
- 24D2072751
- Lab name
- Park Nicollet Dermatology Department
- Additional name
- Maple Grove
- Address
- 9555 Upland Lane North, Maple Grove, MN 55369
- Phone
- (952) 993-1141
- Fax
- (952) 993-2230
Annual test volume the lab reported
- Provider-performed microscopy tests
- 100
- Tests under accreditation
- 600
- Total
- 700
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Maple Grove, MN
- 1 on 1 Comprehensive Healthcare SolutionCertificate of Waiver, Assisted living facility24D2280150
- Acr MagnoliaCertificate of Waiver, Other24D1053133
- Advent Maple GroveCertificate of Waiver, Physician office24D2297819
- Agape Home Care ServicesCertificate of Waiver, Assisted living facility24D2315635
- Alliance Assisted Living Services LLCCertificate of Waiver, Assisted living facility24D2336152
- Allina Health Maple GroveCertificate of Waiver, Community clinic24D0400724
- Almara Women's Health Ogi-MgCertificate for Provider-Performed Microscopy Procedures, Physician office24D0900330
- Arbor Lakes Senior LivingCertificate of Waiver, Assisted living facility24D2015826
- Arbor Lakes Senior Living IICertificate of Waiver, Assisted living facility24D2230076
- Arthritis & Rheumatology Consultants PACertificate of Compliance, Physician office24D2061345
Related
Questions
What is the CLIA number for Park Nicollet Dermatology Department in Maple Grove?
24D2072751, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Park Nicollet Dermatology Department hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 24D2072751 expire?
The CMS file lists September 5, 2027 as the certificate expiration date; the certificate took effect September 6, 2025.