10D0684135 CLIA NUMBER - FIFTH AVENUE PEDIATRICS PA

Laboratory Demographics

  • CLIA Code: 10D0684135
  • Facility Name: FIFTH AVENUE PEDIATRICS PA
  • Facility Address: 2855 5TH AVE N
    SAINT PETERSBURG, FL
    ZIP 33713
  • Facility Phone: 724 732-2727
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAMELA M. PATRANELLA
  • NPI Number: 1255312666
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0684135
LAB Type Physician Office
Facility Name FIFTH AVENUE PEDIATRICS PA
Street 2855 5TH AVE N
City SAINT PETERSBURG
State FL
ZIP 33713
Phone 724 732-2727
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2024
Certificate Expiration Date 8/31/2026
Facility Type Physician Office
Lab Director PAMELA M. PATRANELLA

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