10D0287133 CLIA NUMBER - PEDIATRIC CENTER INC, THE

Laboratory Demographics

  • CLIA Code: 10D0287133
  • Facility Name: PEDIATRIC CENTER INC, THE
  • Facility Address: 1447 MEDICAL PARK BLVD STE 402
    WELLINGTON, FL
    ZIP 33414
  • Facility Phone: 561 790-2600
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. ALI KHOSRAVANI
  • NPI Number: 1740513795
  • Taxonomy: 225X00000X - Occupational Therapist

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CLIA Record

Field Name Field Value
CLIA Number 10D0287133
LAB Type Physician Office
Facility Name PEDIATRIC CENTER INC, THE
Street 1447 MEDICAL PARK BLVD STE 402
City WELLINGTON
State FL
ZIP 33414
Phone 561 790-2600
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 4/10/2023
Certificate Expiration Date 10/31/2025
Facility Type Physician Office
Lab Director DR. ALI KHOSRAVANI

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