CLIA lab
CLIA 24D0400519: South Lake Pediatrics - Minnetonka
Minnetonka, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D0400519 belongs to South Lake Pediatrics - Minnetonka in Minnetonka, MN.
Certificate of Accreditation, effective January 16, 2025, expires January 15, 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
Run it in Rivvi
Map your lab's test names to LOINC codes
Open in RivviFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Certificate
- Certificate type
- Certificate of Accreditation
- Certificate effective
- January 16, 2025
- Certificate expiration
- January 15, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- September 1, 1992
- Facility type
- Physician office
- Ownership (control type)
- Proprietary
- Lab classification
- CLIA laboratory
- Accrediting organizations
- COLA
- Directly affiliated labs
- 2
Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page
Lab and contact
- CLIA number
- 24D0400519
- Lab name
- South Lake Pediatrics - Minnetonka
- Address
- 17705 Hutchins Drive, Suite 100, Minnetonka, MN 55345
- Phone
- (952) 401-8280
- Fax
- (952) 401-8242
Annual test volume the lab reported
- Waived tests
- 15,000
- Tests under accreditation
- 4,847
- Total
- 19,847
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Minnetonka, MN
- A Better Life Recovery LLCCertificate of Waiver, Other24D2344109
- Accra Home Health, IncCertificate of Waiver, Home health agency24D0984617
- Active Day of MinnetonkaCertificate of Waiver, Other24D2167038
- Amira Choice Minnetonka LLCCertificate of Waiver, Assisted living facility24D2134700
- Brightcare Services IncCertificate of Waiver, Assisted living facility24D2207809
- Children's MN Minnetonka Ambulatory SurgeryCertificate of Waiver, Ambulatory surgery center24D1046860
- Children's MN Minnetonka Specialty ClinicsCertificate of Waiver, Other24D1068044
- Childrens MN Minnetonka Outpatient LaboratoryCertificate of Accreditation, Other24D2309287
- Cub Pharmacy #1916Certificate of Waiver, Pharmacy24D1067470
- Elder HomesteadCertificate of Waiver, Ambulatory surgery center24D1029214
Related
Questions
What is the CLIA number for South Lake Pediatrics - Minnetonka in Minnetonka?
24D0400519, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does South Lake Pediatrics - Minnetonka hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 24D0400519 expire?
The CMS file lists January 15, 2027 as the certificate expiration date; the certificate took effect January 16, 2025.