10D0287097 CLIA NUMBER - PALM BEACH PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 10D0287097
  • Facility Name: PALM BEACH PEDIATRICS LLC
  • Facility Address: 13475 SOUTHERN BLVD SUITE 202
    LOXAHATCHEE, FL
    ZIP 33470
  • Facility Phone: (319) 936-6898
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL GLAZIER
  • NPI Number: 1265238083
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0287097
LAB Type Physician Office
Facility Name PALM BEACH PEDIATRICS LLC
Street 13475 SOUTHERN BLVD SUITE 202
City LOXAHATCHEE
State FL
ZIP 33470
Phone 3199366898
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2025
Certificate Expiration Date 12/22/2027
Facility Type Physician Office
Lab Director DR. MICHAEL GLAZIER

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This page was last updated on: 5/18/2026