10D0671219 CLIA NUMBER - LAKESIDE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D0671219
  • Facility Name: LAKESIDE PEDIATRICS
  • Facility Address: 2929 LAKELAND HILLS BLVD
    LAKELAND, FL
    ZIP 33805
  • Facility Phone: 863 688-3550
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SAIRAH Y. CHACHAD
  • NPI Number: 1518973973
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0671219
LAB Type Physician Office
Facility Name LAKESIDE PEDIATRICS
Street 2929 LAKELAND HILLS BLVD
City LAKELAND
State FL
ZIP 33805
Phone 863 688-3550
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director SAIRAH Y. CHACHAD

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