24D2176326 CLIA NUMBER - SERGE B PIERRECHARLES MEDICAL GROUP PLLC

Laboratory Demographics

  • CLIA Code: 24D2176326
  • Facility Name: SERGE B PIERRECHARLES MEDICAL GROUP PLLC
  • Facility Address: 9220 BASS LAKE ROAD, SUITE 350
    NEW HOPE, MN
    ZIP 55428
  • Facility Phone: 763 208-9545
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SERGE B. PIERRECHARLES
  • NPI Number: 1609167980
  • Taxonomy: 208100000X - Physical Medicine & Rehabilitation

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CLIA Record

Field Name Field Value
CLIA Number 24D2176326
LAB Type Physician Office
Facility Name SERGE B PIERRECHARLES MEDICAL GROUP PLLC
Street 9220 BASS LAKE ROAD, SUITE 350
City NEW HOPE
State MN
ZIP 55428
Phone 763 208-9545
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Physician Office
Lab Director SERGE B. PIERRECHARLES

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