10D0679045 CLIA NUMBER - PEDIATRICA OF LAUREL PARK

Laboratory Demographics

  • CLIA Code: 10D0679045
  • Facility Name: PEDIATRICA OF LAUREL PARK
  • Facility Address: 1666 MOUND ST
    SARASOTA, FL
    ZIP 34236
  • Facility Phone: 941 365-5898
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NETA L. STRUM
  • NPI Number: 1780722595
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0679045
LAB Type Physician Office
Facility Name PEDIATRICA OF LAUREL PARK
Street 1666 MOUND ST
City SARASOTA
State FL
ZIP 34236
Phone 941 365-5898
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/6/2024
Certificate Expiration Date 7/5/2026
Facility Type Physician Office
Lab Director NETA L. STRUM

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