10D0911918 CLIA NUMBER - NORTH FLORIDA PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D0911918
  • Facility Name: NORTH FLORIDA PEDIATRICS
  • Facility Address: 1859 SW NEWLAND WAY
    LAKE CITY, FL
    ZIP 32025
  • Facility Phone: 386 758-0003
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAMELA SANTELICES
  • NPI Number: 1235808668
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0911918
LAB Type Physician Office
Facility Name NORTH FLORIDA PEDIATRICS
Street 1859 SW NEWLAND WAY
City LAKE CITY
State FL
ZIP 32025
Phone 386 758-0003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2023
Certificate Expiration Date 10/28/2025
Facility Type Physician Office
Lab Director PAMELA SANTELICES

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