10D0276388 CLIA NUMBER - PEDIATRICS IN BREVARD PA

Laboratory Demographics

  • CLIA Code: 10D0276388
  • Facility Name: PEDIATRICS IN BREVARD PA
  • Facility Address: 1018 FLORIDA AVE S, STES A, B, C
    ROCKLEDGE, FL
    ZIP 32955
  • Facility Phone: 321 636-3066
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JOHN C. KENNEDY
  • NPI Number: 1689655607
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0276388
LAB Type Physician Office
Facility Name PEDIATRICS IN BREVARD PA
Street 1018 FLORIDA AVE S, STES A, B, C
City ROCKLEDGE
State FL
ZIP 32955
Phone 321 636-3066
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 1/6/2024
Certificate Expiration Date 1/5/2026
Facility Type Physician Office
Lab Director JOHN C. KENNEDY

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