CLIA lab
CLIA 24D2283754: Lakes Pediatrics
Saint Louis Park, MN. Certificate and address details from the CMS Provider of Services file for clinical laboratories.
CLIA number 24D2283754 belongs to Lakes Pediatrics in Saint Louis Park, MN.
Certificate of Waiver, effective June 13, 2025, expires June 12, 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 Waiver
- Certificate effective
- June 13, 2025
- Certificate expiration
- June 12, 2027
- Status in the CMS file
- Active (termination code 00)
- Original participation date
- June 13, 2023
- Facility type
- Independent
- 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
- 24D2283754
- Lab name
- Lakes Pediatrics
- Address
- 4832 W 27th Street, Saint Louis Park, MN 55416
- Phone
- (952) 217-6309
Annual test volume the lab reported
- Waived tests
- 100
Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.
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- Children's MN Partners in PediatricsCertificate of Accreditation, Physician office24D0401675
- Comfort Care CenterCertificate of Waiver, Assisted living facility24D2266749
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- Cub Pharmacy #1595Certificate of Waiver, Pharmacy24D2080074
- Cub Pharmacy #1924Certificate of Waiver, Pharmacy24D1067490
Related
Questions
What is the CLIA number for Lakes Pediatrics in Saint Louis Park?
24D2283754, per the CMS Provider of Services file posted October 16, 2026.
What CLIA certificate does Lakes Pediatrics hold?
A Certificate of Waiver, according to the CMS file.
When does CLIA 24D2283754 expire?
The CMS file lists June 12, 2027 as the certificate expiration date; the certificate took effect June 13, 2025.