CLIA lab

CLIA 24D0401213: Pediatric Services, PA

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

CLIA number 24D0401213 belongs to Pediatric Services, PA in Saint Louis Park, MN.

Certificate of Compliance, effective June 20, 2026, expires June 19, 2028.

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 Compliance
Certificate effective
June 20, 2026
Certificate expiration
June 19, 2028
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

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

Lab and contact

CLIA number
24D0401213
Lab name
Pediatric Services, PA
Address
4700 Park Glen Road, Saint Louis Park, MN 55416
Phone
(952) 922-4200
Fax
(952) 922-4301

Annual test volume the lab reported

Waived tests
5,994
Other nonwaived tests
6,849
Total
12,843

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 Services, PA in Saint Louis Park?

24D0401213, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does Pediatric Services, PA hold?

A Certificate of Compliance, according to the CMS file.

When does CLIA 24D0401213 expire?

The CMS file lists June 19, 2028 as the certificate expiration date; the certificate took effect June 20, 2026.

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