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

Laboratory Demographics

  • CLIA Code: 24D0401675
  • Facility Name: CHILDREN'S MN PARTNERS IN PEDIATRICS
  • Facility Address: 3910 EXCELSIOR BOULEVARD
    SAINT LOUIS PARK, MN
    ZIP 55416
  • Facility Phone: 952 562-8405
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: VEDAVATHI BELLAMKONDAATHMARAM
  • NPI Number: 1326458522
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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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
Certificate Type Certificate of Accreditation
Certificate Type Description This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director VEDAVATHI BELLAMKONDAATHMARAM

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This page was last updated on: 9/29/2025