10D0689192 CLIA NUMBER - PEDIATRICS AT RIVERS EDGE, INC

Laboratory Demographics

  • CLIA Code: 10D0689192
  • Facility Name: PEDIATRICS AT RIVERS EDGE, INC
  • Facility Address: 9948 GROVE DRIVE
    NEW PORT RICHEY, FL
    ZIP 34654
  • Facility Phone: 727 844-3551
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALDO C. DONDERO
  • NPI Number: 1003217183
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0689192
LAB Type Physician Office
Facility Name PEDIATRICS AT RIVERS EDGE, INC
Street 9948 GROVE DRIVE
City NEW PORT RICHEY
State FL
ZIP 34654
Phone 727 844-3551
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 ALDO C. DONDERO

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This page was last updated on: 6/4/2025