24D2008373 CLIA NUMBER - PEDIATRIC SURGICAL ASSOCIATES

Laboratory Demographics

  • CLIA Code: 24D2008373
  • Facility Name: PEDIATRIC SURGICAL ASSOCIATES
  • Facility Address: 6060 CLEARWATER DRIVE, SUITE 110
    MINNETONKA, MN
    ZIP 55343
  • Facility Phone: 612 813-8000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULIE CROCKER
  • NPI Number: 1093778292
  • Taxonomy: 2086S0120X - Surgery

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 24D2008373
LAB Type Physician Office
Facility Name PEDIATRIC SURGICAL ASSOCIATES
Street 6060 CLEARWATER DRIVE, SUITE 110
City MINNETONKA
State MN
ZIP 55343
Phone 612 813-8000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2024
Certificate Expiration Date 6/8/2026
Facility Type Physician Office
Lab Director JULIE CROCKER

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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