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OMC SKYWAY CLINIC
NPI 1013277789
Clinic/Center in Rochester, MN

Active since May 29, 2012CLIA Certified · 5 labs
318 1ST AVE SW, SUITE 203, ROCHESTER, MN 55902(507) 529-6616 Get Directions Write a Review

NPPES record last updated: May 29, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Omc Skyway Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OMC SKYWAY CLINIC (NPI 1013277789) is a healthcare organization registered as a clinic/center in Rochester, Minnesota and active in the NPI registry since May 2012. The organization holds 5 active CLIA laboratory certificates and lists Kevin Higgins, Cfo, as its authorized official.

NPPES Registry Identity

NPI1013277789
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameOLMSTED MEDICAL CENTER
Location Address318 1ST AVE SW, SUITE 203Rochester, MN 55902-3310
Mailing Address201 9th St SeRochester, MN 55904-6768 · (507) 592-6616
Phone(507) 529-6616
Organization SubpartNo
Authorized OfficialKevin HigginsCfo · (507) 529-6619
Enumeration DateMay 29, 2012
✔ NPI 1013277789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
318 1ST AVE SW, Rochester, MN 55902
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Other Names 1

Doing Business AsOmc Skyway Clinic

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

CLIA Laboratory Certificates CMS CLIA 5

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 24D2002497

Olmsted Medical Center - Skyway Clinic · Rochester, MN
Active · expires Jan 19, 2028
CLIA Number24D2002497
Laboratory TypePhysician Office
Certificate Effective DateJanuary 20, 2026
Certificate Expiration DateJanuary 19, 2028
Laboratory DirectorDebra Groth
Laboratory Phone(507) 529-6666
Laboratory LocationOlmsted Medical Center - Skyway Clinic318 1st Avenue SW Suite 203, Rochester, MN 55902
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D0404356

Olmsted Medical Center - SE Clinic · Rochester, MN
Active · expires May 31, 2028
CLIA Number24D0404356
Laboratory TypeCommunity Clinic
Certificate Effective DateJune 1, 2026
Certificate Expiration DateMay 31, 2028
Laboratory DirectorYassaman Raissian
Laboratory Phone(507) 287-2734
Laboratory LocationOlmsted Medical Center - SE Clinic210 9th Street SE, Rochester, MN 55904
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 24D1077667

Olmsted Medical Center - Fastcare South · Rochester, MN
Active · expires Dec 16, 2027
CLIA Number24D1077667
Laboratory TypeCommunity Clinic
Certificate Effective DateDecember 17, 2025
Certificate Expiration DateDecember 16, 2027
Laboratory DirectorAnn Churchill
Laboratory Phone(507) 529-6662
Laboratory LocationOlmsted Medical Center - Fastcare South90 14th Street SW, Suite 200, Rochester, MN 55902
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 24D2319636

Olmsted Medical Center- Mohs Lab · Rochester, MN
Active · expires Oct 7, 2027
CLIA Number24D2319636
Laboratory TypeMohs Lab
Certificate Effective DateOctober 8, 2025
Certificate Expiration DateOctober 7, 2027
Laboratory DirectorEucabeth Asamoah
Laboratory Phone(507) 529-6695
Laboratory LocationOlmsted Medical Center- Mohs Lab1605 4 Th St SE, Rochester, MN 55904
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Accreditation 24D0404355

Olmsted Medical Center - Laboratory · Rochester, MN
Active · expires Feb 27, 2027
CLIA Number24D0404355
Laboratory TypeHospital
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Yassaman Raissian
Laboratory Phone(507) 529-6695
Laboratory LocationOlmsted Medical Center - Laboratory1650 4th St SE, Rochester, MN 55904
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. ASHLEY R BOLDIN CPHT
Student in an Organized Health Care Education/Training Program
318 1ST AVE SW, #908
ROCHESTER, MN 55902
Olmsted County (501) 772-4399
ANNE M BEIGHLEY APRN, CNP
Nurse Practitioner (Family)
318 1ST AVE SW
ROCHESTER, MN 55902
Olmsted County (507) 292-7250

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Olmsted Medical Center's NPI number?

The NPI number for Olmsted Medical Center is 1013277789. It was assigned to this organization in the NPPES registry on May 29, 2012. The provider is doing business as Omc Skyway Clinic.

Where is Olmsted Medical Center located?

Olmsted Medical Center is located at 318 1st Ave SW Suite 203, Rochester, MN 55902. The listed phone number is (507) 529-6616.

What is Olmsted Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Olmsted Medical Center hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Olmsted Medical Center accept?

Health plans from Medica list Olmsted Medical Center as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Olmsted Medical Center was last updated on May 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.