24D0401675 CLIA NUMBER - CHILDREN'S MN PARTNERS IN PEDIATRICS

Laboratory Demographics

CLIA Number: 24D0401675

Facility Name: CHILDREN'S MN PARTNERS IN PEDIATRICS

Facility Address:
3910 EXCELSIOR BOULEVARD
SAINT LOUIS PARK, MN
ZIP 55416
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Facility Phone Number: 952 562-8405

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1326458522

Taxonomy: 235Z00000X - Speech-Language Pathologist
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

CLIA Record

Field Name	Field Value
CLIA Number	24D0401675
LAB Type	Physician Office
Facility Name	CHILDREN'S MN PARTNERS IN PEDIATRICS
Street	3910 EXCELSIOR BOULEVARD
City	SAINT LOUIS PARK
State	MN
ZIP	55416
Phone	952 562-8405
CertificateType	1
CertificateEffectiveDate	12/23/2023
CertificateExpirationDate	12/22/2025
FacilityType	Accreditation

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This page was last updated on: 4/23/2024