10D0669731 CLIA NUMBER - PEDIATRIC PLACE LLC

Laboratory Demographics

  • CLIA Code: 10D0669731
  • Facility Name: PEDIATRIC PLACE LLC
  • Facility Address: 2800 S SEACREST BLVD STE 150
    BOYNTON BEACH, FL
    ZIP 33435
  • Facility Phone: 561 734-1888
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BARRY LOWY
  • NPI Number: 1093844151
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0669731
LAB Type Physician Office
Facility Name PEDIATRIC PLACE LLC
Street 2800 S SEACREST BLVD STE 150
City BOYNTON BEACH
State FL
ZIP 33435
Phone 561 734-1888
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/28/2024
Certificate Expiration Date 12/27/2026
Facility Type Physician Office
Lab Director BARRY LOWY

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