10D0689203 CLIA NUMBER - PEDIATRICA OF MIAMI LAKES

Laboratory Demographics

  • CLIA Code: 10D0689203
  • Facility Name: PEDIATRICA OF MIAMI LAKES
  • Facility Address: 7480 FAIRWAY DR STE #202
    MIAMI LAKES, FL
    ZIP 33014
  • Facility Phone: 305 823-2222
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RUTH SCHOBEL
  • NPI Number: 1811929201
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0689203
LAB Type Physician Office
Facility Name PEDIATRICA OF MIAMI LAKES
Street 7480 FAIRWAY DR STE #202
City MIAMI LAKES
State FL
ZIP 33014
Phone 305 823-2222
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/1/2025
Certificate Expiration Date 7/31/2027
Facility Type Physician Office
Lab Director RUTH SCHOBEL

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