10D0688174 CLIA NUMBER - MYRTLE AVENUE PEDIATRICS INC

Laboratory Demographics

  • CLIA Code: 10D0688174
  • Facility Name: MYRTLE AVENUE PEDIATRICS INC
  • Facility Address: 613 SOUTH MYRTLE AVENUE
    CLEARWATER, FL
    ZIP 33756
  • Facility Phone: 727 447-6458
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KAREN KELLY MD
  • NPI Number: 1548411432
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0688174
LAB Type Physician Office
Facility Name MYRTLE AVENUE PEDIATRICS INC
Street 613 SOUTH MYRTLE AVENUE
City CLEARWATER
State FL
ZIP 33756
Phone 727 447-6458
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/17/2024
Certificate Expiration Date 3/16/2026
Facility Type Physician Office
Lab Director KAREN KELLY MD

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