CLIA lab
CLIA 24D2113429: Park Nicollet Dermatology
Chanhassen, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2113429 belongs to Park Nicollet Dermatology in Chanhassen, MN.
Certificate for Provider-Performed Microscopy Procedures, effective May 23, 2026, expires May 22, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate for Provider-Performed Microscopy Procedures
- Certificate effective
- May 23, 2026
- Certificate expiration
- May 22, 2028
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- May 23, 2016
- 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
- 24D2113429
- Lab name
- Park Nicollet Dermatology
- Address
- 300 Lake Drive East, Chanhassen, MN 55317
- Phone
- (952) 993-3933
- Fax
- (952) 993-1078
Annual test volume the lab reported
- Waived tests
- 50
- Provider-performed microscopy tests
- 80
- Total
- 130
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Other labs in Chanhassen, MN
- Chanhassen Dinner TheatresCertificate of Waiver, Other24D2239211
- Chanhassen Partners MN, LLCCertificate of Waiver, Assisted living facility24D2077264
- Cub Pharmacy #1644Certificate of Waiver, Pharmacy24D1067656
- Evergreen Assisted Living Homes IncCertificate of Waiver, Assisted living facility24D2291791
- Grand ST Paul CVS, LLC DBA Cvs/Pharmacy #1747Certificate of Waiver, Pharmacy24D2185881
- Mungu Capable HomesCertificate of Waiver, Assisted living facility24D2346293
- Oral Maxillofacial Surg Consultants, PACertificate of Waiver, Physician office24D1098419
- PHS Chanhassen IncCertificate of Waiver, Assisted living facility24D2032752
- Park Nicollet Clinic - Chanhassen ClinicCertificate of Accreditation, Physician office24D0400451
- Ridgeview Chanhassen ClinicCertificate of Accreditation, Community clinic24D0400102
Related
Questions
What is the CLIA number for Park Nicollet Dermatology in Chanhassen?
24D2113429, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Park Nicollet Dermatology hold?
A Certificate for Provider-Performed Microscopy Procedures, according to the CMS file.
When does CLIA 24D2113429 expire?
The CMS file lists May 22, 2028 as the certificate expiration date; the certificate took effect May 23, 2026.