24D2041126 CLIA NUMBER - PEDIATECH NURSING

Laboratory Demographics

  • CLIA Code: 24D2041126
  • Facility Name: PEDIATECH NURSING
  • Facility Address: 15612 HIGHWAY 7 SUITE 160
    MINNETONKA, MN
    ZIP 55345
  • Facility Phone: 952 500-8050
  • Facility Type: Home Health Agency
  • Facility Type: Waiver
  • Lab Director: WENDY S. YORK
  • NPI Number: 1861767329
  • Taxonomy: 251E00000X - Home Health

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CLIA Record

Field Name Field Value
CLIA Number 24D2041126
LAB Type Home Health Agency
Facility Name PEDIATECH NURSING
Street 15612 HIGHWAY 7 SUITE 160
City MINNETONKA
State MN
ZIP 55345
Phone 952 500-8050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/17/2024
Certificate Expiration Date 5/16/2026
Facility Type Home Health Agency
Lab Director WENDY S. YORK

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