CLIA lab
CLIA 24D1025084: Mendakota Pediatrics, LTD
West Saint Paul, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D1025084 belongs to Mendakota Pediatrics, LTD in West Saint Paul, MN.
Certificate of Accreditation, effective August 25, 2025, expires August 24, 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
- August 25, 2025
- Certificate expiration
- August 24, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- April 28, 2004
- 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
- 24D1025084
- Lab name
- Mendakota Pediatrics, LTD
- Address
- 1880 Livingston Ave Ste 102, West Saint Paul, MN 55118
- Phone
- (651) 552-7999
- Fax
- (651) 552-0777
Annual test volume the lab reported
- Waived tests
- 1,500
- Tests under accreditation
- 2,600
- Total
- 4,100
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 Mendakota Pediatrics, LTD in West Saint Paul?
24D1025084, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Mendakota Pediatrics, LTD hold?
A Certificate of Accreditation, according to the CMS file.
When does CLIA 24D1025084 expire?
The CMS file lists August 24, 2027 as the certificate expiration date; the certificate took effect August 25, 2025.