CLIA lab

CLIA 24D2132715: Park Nicollet Health Services

Wayzata, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 24D2132715 belongs to Park Nicollet Health Services in Wayzata, MN.

Certificate of Registration, effective June 27, 2025, expires June 26, 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 Registration
Certificate effective
June 27, 2025
Certificate expiration
June 26, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
June 27, 2017
Facility type
Ancillary test site
Ownership (control type)
Private
Lab classification
CLIA laboratory
Accrediting organizations
College of American Pathologists (CAP)
Directly affiliated labs
3

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
24D2132715
Lab name
Park Nicollet Health Services
Additional name
Dermatology Wayzata
Address
250 Central Ave North Suite 200 & 228, Wayzata, MN 55391
Phone
(952) 993-1753

Annual test volume the lab reported

Provider-performed microscopy tests
20
Tests under accreditation
700
Total
720

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Affiliated CLIA numbers

Other labs in Wayzata, MN

Related

Questions

What is the CLIA number for Park Nicollet Health Services in Wayzata?

24D2132715, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Park Nicollet Health Services hold?

A Certificate of Registration, according to the CMS file.

When does CLIA 24D2132715 expire?

The CMS file lists June 26, 2027 as the certificate expiration date; the certificate took effect June 27, 2025.

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