24D2269620 CLIA NUMBER - LEAP PEDIATRIC AND ADOLESCENT CARE

Laboratory Demographics

  • CLIA Code: 24D2269620
  • Facility Name: LEAP PEDIATRIC AND ADOLESCENT CARE
  • Facility Address: 450 SYNDICATE ST N SUITE 250
    SAINT PAUL, MN
    ZIP 55104
  • Facility Phone: 651 242-2849
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JULIA P. JOSEPH-DI CAPRIO
  • NPI Number: 1457082919
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 24D2269620
LAB Type Physician Office
Facility Name LEAP PEDIATRIC AND ADOLESCENT CARE
Street 450 SYNDICATE ST N SUITE 250
City SAINT PAUL
State MN
ZIP 55104
Phone 651 242-2849
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/29/2024
Certificate Expiration Date 9/28/2026
Facility Type Physician Office
Lab Director JULIA P. JOSEPH-DI CAPRIO

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