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PIIC CLINICAL SERVICES
NPI 1376041822
Clinic/Center - Primary Care in Brooklyn Center, MN

Active since January 30, 2018CLIA 24D2262403 · Waiver
6500 HUMBOLDT AVE N, BROOKLYN CENTER, MN 55430(763) 561-2120(833) 972-1588 Get Directions Write a Review

NPPES record last updated: March 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Piic Clinical Services NPPES

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

PIIC CLINICAL SERVICES (NPI 1376041822) is a healthcare organization registered as a primary care in Brooklyn Center, Minnesota and active in the NPI registry since January 2018. The organization holds a CLIA Waiver certificate valid through June 13, 2028 and lists Alethea Anderson, Care Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1376041822
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePIIC CLINICAL SERVICES
Location Address6500 HUMBOLDT AVE NBrooklyn Center, MN 55430-1800
Mailing Address6500 Humboldt Ave NBrooklyn Center, MN 55430-1800
Phone(763) 561-2120
Fax(833) 972-1588
Organization SubpartNo
Authorized OfficialAlethea AndersonCare Operations Manager · (612) 618-3647
Enumeration DateJanuary 30, 2018
Last NPPES UpdateMarch 20, 2025
✔ NPI 1376041822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
6500 HUMBOLDT AVE N, Brooklyn Center, MN 55430
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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 24D2262403

Piic Clinical Services PC - Infinite Campus · Blaine, MN
Active · expires Jun 13, 2028
CLIA Number24D2262403
Laboratory TypePhysician Office
Certificate Effective DateJune 14, 2026
Certificate Expiration DateJune 13, 2028
Laboratory DirectorMike L. Cowan
Laboratory Phone(612) 618-3647
Laboratory LocationPiic Clinical Services PC - Infinite Campus4321 109th Ave NE, Blaine, MN 55449
CLIA data matches this NPI record on: Name Phone
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 Piic Clinical Services's NPI number?

The NPI number for Piic Clinical Services is 1376041822. It was assigned to this organization in the NPPES registry on January 30, 2018.

Where is Piic Clinical Services located?

Piic Clinical Services is located at 6500 Humboldt Ave N, Brooklyn Center, MN 55430. The listed phone number is (763) 561-2120.

What is Piic Clinical Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Piic Clinical Services hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 24D2262403) is associated with this NPI, valid through June 13, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Piic Clinical Services was last updated on March 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.