CLIA lab
CLIA 24D0898889: South Lake Pediatrics-Plymouth
Plymouth, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D0898889 belongs to South Lake Pediatrics-Plymouth in Plymouth, MN.
Certificate of Accreditation, effective January 30, 2025, expires January 29, 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
- January 30, 2025
- Certificate expiration
- January 29, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- March 14, 1995
- 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
- 24D0898889
- Lab name
- South Lake Pediatrics-Plymouth
- Address
- 15535 34th Ave N Suite 100, Plymouth, MN 55447
- Phone
- (952) 401-8280
- Fax
- (952) 401-8242
Annual test volume the lab reported
- Waived tests
- 9,000
- Tests under accreditation
- 2,032
- Total
- 11,032
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
Affiliated CLIA numbers
Other labs in Plymouth, MN
- Advocate House Assisted Living ServicesCertificate of Waiver, Assisted living facility24D2325784
- Allina Health Plymouth ClinicCertificate of Waiver, Community clinic24D0899825
- Amira Choice Plymouth LLCCertificate of Waiver, Assisted living facility24D2140663
- Anw West Health LaboratoryCertificate of Waiver, Ancillary test site24D2069845
- Anw West Health, IncCertificate of Accreditation, Ancillary test site24D0891602
- Any Lab Test NowCertificate of Waiver, Independent24D2021228
- Balanced Chiropractic LLCCertificate of Waiver, Other24D2179401
- Bayada Home Health Care IncCertificate of Waiver, Home health agency24D0983661
- Cub Pharmacy #1633Certificate of Waiver, Pharmacy24D1067672
- Cub Pharmacy #1650Certificate of Waiver, Pharmacy24D1067467
Related
Questions
What is the CLIA number for South Lake Pediatrics-Plymouth in Plymouth?
24D0898889, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does South Lake Pediatrics-Plymouth hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 24D0898889 expire?
The CMS file lists January 29, 2027 as the certificate expiration date; the certificate took effect January 30, 2025.