24D2085388 CLIA NUMBER - HOPE PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 24D2085388
  • Facility Name: HOPE PEDIATRICS PLLC
  • Facility Address: 219 BROOKS AVE NORTH
    THIEF RIVER FALLS, MN
    ZIP 56701
  • Facility Phone: 218 280-2638
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SURESH SREEDHARAN
  • NPI Number: 1467856658
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2085388
LAB Type Physician Office
Facility Name HOPE PEDIATRICS PLLC
Street 219 BROOKS AVE NORTH
City THIEF RIVER FALLS
State MN
ZIP 56701
Phone 218 280-2638
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/14/2024
Certificate Expiration Date 10/13/2026
Facility Type Physician Office
Lab Director SURESH SREEDHARAN

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