CLIA lab

CLIA 24D0399350: Pediatric and Young Adult Medicine

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

CLIA number 24D0399350 belongs to Pediatric and Young Adult Medicine in Maplewood, MN.

Certificate of Accreditation, effective December 23, 2025, expires December 22, 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 Accreditation
Certificate effective
December 23, 2025
Certificate expiration
December 22, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
July 12, 1993
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory
Accrediting organizations
COLA

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

Lab and contact

CLIA number
24D0399350
Lab name
Pediatric and Young Adult Medicine
Address
1965 11th Avenue E Suite 102, Maplewood, MN 55109
Phone
(651) 256-6754
Fax
(651) 256-6755

Annual test volume the lab reported

Tests under accreditation
1,932

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

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Related

Questions

What is the CLIA number for Pediatric and Young Adult Medicine in Maplewood?

24D0399350, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pediatric and Young Adult Medicine hold?

A Certificate of Accreditation, according to the CMS file.

When does CLIA 24D0399350 expire?

The CMS file lists December 22, 2027 as the certificate expiration date; the certificate took effect December 23, 2025.

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