24D2199910 CLIA NUMBER - ST CLOUD PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 24D2199910
  • Facility Name: ST CLOUD PEDIATRICS LLC
  • Facility Address: 3290 42ND AVENUE SOUTH SUITE 100
    SAINT CLOUD, MN
    ZIP 56301
  • Facility Phone: 320 291-5595
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: WEINING HU
  • NPI Number: 1942816533
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 24D2199910
LAB Type Physician Office
Facility Name ST CLOUD PEDIATRICS LLC
Street 3290 42ND AVENUE SOUTH SUITE 100
City SAINT CLOUD
State MN
ZIP 56301
Phone 320 291-5595
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/12/2024
Certificate Expiration Date 11/11/2026
Facility Type Physician Office
Lab Director WEINING HU

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