01D2300790 CLIA NUMBER - COASTAL PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 01D2300790
  • Facility Name: COASTAL PEDIATRICS LLC
  • Facility Address: 19283 STATE HWY 59
    SUMMERDALE, AL
    ZIP 36580
  • Facility Phone: 251 523-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. PETER STROGOV
  • NPI Number: 1689438111
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 01D2300790
LAB Type Physician Office
Facility Name COASTAL PEDIATRICS LLC
Street 19283 STATE HWY 59
City SUMMERDALE
State AL
ZIP 36580
Phone 251 523-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/15/2024
Certificate Expiration Date 3/14/2026
Facility Type Physician Office
Lab Director DR. PETER STROGOV

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