10D0274033 CLIA NUMBER - CANNIZZARO INTEGRATIVE PEDIATRIC CENTER

Laboratory Demographics

  • CLIA Code: 10D0274033
  • Facility Name: CANNIZZARO INTEGRATIVE PEDIATRIC CENTER
  • Facility Address: 357 WEKIVA SPRINGS RD
    LONGWOOD, FL
    ZIP 32779
  • Facility Phone: 407 862-1163
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALLISON KLIMIS
  • NPI Number: 1649670100
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D0274033
LAB Type Physician Office
Facility Name CANNIZZARO INTEGRATIVE PEDIATRIC CENTER
Street 357 WEKIVA SPRINGS RD
City LONGWOOD
State FL
ZIP 32779
Phone 407 862-1163
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/13/2025
Certificate Expiration Date 7/12/2027
Facility Type Physician Office
Lab Director ALLISON KLIMIS

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