10D0271843 CLIA NUMBER - BENTON PEDIATRICS, INC

Laboratory Demographics

CLIA Number: 10D0271843

Facility Name: BENTON PEDIATRICS, INC

Facility Address:
5612 NW 43RD ST
GAINESVILLE, FL
ZIP 32653
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Facility Phone Number: (352) 376-4542

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1093956526

Taxonomy: 282NC2000X - General Acute Care Hospital

CLIA Record

Field Name	Field Value
CLIA Number	10D0271843
LAB Type	PHYSICIAN OFFICE
Facility Name	BENTON PEDIATRICS, INC
Street	5612 NW 43RD ST
City	GAINESVILLE
State	FL
ZIP	32653
Phone	(352) 376-4542

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This page was last updated on: 5/11/2023