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ALLINA HEALTH EAST LAKE STREET CLINIC
NPI 1285930065
Family Medicine in Minneapolis, MN

Active since January 27, 2011CLIA 24D0401292 · Waiver
3024 SNELLING AVE S, MINNEAPOLIS, MN 55406(612) 775-4900(612) 728-1621 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 6, 2023, Sep 1, 2020, Nov 22, 2019 and 2 more (5 updates tracked since 2016).

About Allina Health East Lake Street Clinic NPPES

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

ALLINA HEALTH EAST LAKE STREET CLINIC (NPI 1285930065) is a healthcare organization registered as a family medicine in Minneapolis, Minnesota and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through September 19, 2026 and lists Dominica Tallarico, Coo, as its authorized official.

NPPES Registry Identity

NPI1285930065
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameALLINA HEALTH SYSTEM
Location Address3024 SNELLING AVE SMinneapolis, MN 55406-1911
Mailing AddressPo Box 43, Mail Route 10585Minneapolis, MN 55440-0043 · (612) 262-1166
Phone(612) 775-4900
Fax(612) 728-1621
Organization SubpartNo
Authorized OfficialDominica TallaricoCoo · (612) 222-2222
Enumeration DateJanuary 27, 2011
Last NPPES UpdateJanuary 16, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2025
✔ NPI 1285930065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3024 SNELLING AVE S, Minneapolis, MN 55406
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Other Names 1

Doing Business AsAllina Health East Lake Street Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA

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 24D0401292

Allina Health East Lake Street Clinic · Minneapolis, MN
Active · expires Sep 19, 2026
CLIA Number24D0401292
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 20, 2024
Certificate Expiration DateSeptember 19, 2026
Laboratory DirectorJason A. Daniels
Laboratory Phone(612) 863-0430
Laboratory LocationAllina Health East Lake Street Clinic3024 Snelling Avenue, Minneapolis, MN 55406
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Allina Health System's NPI number?

The NPI number for Allina Health System is 1285930065. It was assigned to this organization in the NPPES registry on January 27, 2011. The provider is doing business as Allina Health East Lake Street Clinic.

Where is Allina Health System located?

Allina Health System is located at 3024 Snelling Ave S, Minneapolis, MN 55406. The listed phone number is (612) 775-4900.

What is Allina Health System's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Allina Health System hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D0401292) is associated with this NPI, valid through September 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Allina Health System accept?

Health plans from HealthPartners and Medica list Allina Health System 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 Allina Health System was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.