10D0868886 CLIA NUMBER - PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 10D0868886
  • Facility Name: PEDIATRIC ASSOCIATES
  • Facility Address: 3155 CITRUS TOWER BLVD, BLDG 1
    CLERMONT, FL
    ZIP 34711
  • Facility Phone: 954 965-7754
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BARBARA ALEXANDER
  • NPI Number: 1699076901
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0868886
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES
Street 3155 CITRUS TOWER BLVD, BLDG 1
City CLERMONT
State FL
ZIP 34711
Phone 954 965-7754
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 BARBARA ALEXANDER

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