10D0907332 CLIA NUMBER - ISLAND COAST PEDIATRICS PA

Laboratory Demographics

  • CLIA Code: 10D0907332
  • Facility Name: ISLAND COAST PEDIATRICS PA
  • Facility Address: 9911 CORKSCREW RD STE 101
    ESTERO, FL
    ZIP 33928
  • Facility Phone: 239 768-2111
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: DR. DARRELL L. TROAST
  • NPI Number: 1215962386
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0907332
LAB Type Physician Office
Facility Name ISLAND COAST PEDIATRICS PA
Street 9911 CORKSCREW RD STE 101
City ESTERO
State FL
ZIP 33928
Phone 239 768-2111
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/13/2023
Certificate Expiration Date 11/12/2025
Facility Type Physician Office
Lab Director DR. DARRELL L. TROAST

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