24D0666564 CLIA NUMBER - CHILDREN'S CLINIC NETWORK DBA NORTHEAST PEDIATRIC CLINIC

Laboratory Demographics

  • CLIA Code: 24D0666564
  • Facility Name: CHILDREN'S CLINIC NETWORK DBA NORTHEAST PEDIATRIC CLINIC
  • Facility Address: 14701 VICTOR HUGO BLVD
    HUGO, MN
    ZIP 55038
  • Facility Phone: 651 426-1141
  • Facility Type: Physician Office
  • Facility Type: Accreditation
  • Lab Director: CATHERINE BEDFORD
  • NPI Number: 1447529235
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0666564
LAB Type Physician Office
Facility Name CHILDREN'S CLINIC NETWORK DBA NORTHEAST PEDIATRIC CLINIC
Street 14701 VICTOR HUGO BLVD
City HUGO
State MN
ZIP 55038
Phone 651 426-1141
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 CATHERINE BEDFORD

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