10D0897641 CLIA NUMBER - CHILDRENS CLINIC

Laboratory Demographics

  • CLIA Code: 10D0897641
  • Facility Name: CHILDRENS CLINIC
  • Facility Address: 160 E REDSTONE AVE
    CRESTVIEW, FL
    ZIP 32539
  • Facility Phone: 850 689-0555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHARON H. ROSENBERG
  • NPI Number: 1629102389
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0897641
LAB Type Physician Office
Facility Name CHILDRENS CLINIC
Street 160 E REDSTONE AVE
City CRESTVIEW
State FL
ZIP 32539
Phone 850 689-0555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/21/2023
Certificate Expiration Date 12/20/2025
Facility Type Physician Office
Lab Director SHARON H. ROSENBERG

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