24D0690797 CLIA NUMBER - GROW PEDIATRICS

Laboratory Demographics

  • CLIA Code: 24D0690797
  • Facility Name: GROW PEDIATRICS
  • Facility Address: 5975 CARMEN AVE
    INVER GROVE HEIGHTS, MN
    ZIP 55076
  • Facility Phone: 651 455-9697
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LINDSEY M. DEEB
  • NPI Number: 1285943027
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D0690797
LAB Type Physician Office
Facility Name GROW PEDIATRICS
Street 5975 CARMEN AVE
City INVER GROVE HEIGHTS
State MN
ZIP 55076
Phone 651 455-9697
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/29/2024
Certificate Expiration Date 11/28/2026
Facility Type Physician Office
Lab Director LINDSEY M. DEEB

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