10D0940559 CLIA NUMBER - PENNY PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D0940559
  • Facility Name: PENNY PEDIATRICS
  • Facility Address: 14430 US HIGHWAY 1 SUITE 103
    SEBASTIAN, FL
    ZIP 32958
  • Facility Phone: 772 581-0300
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARZA S. PENNY
  • NPI Number: 1760646848
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0940559
LAB Type Physician Office
Facility Name PENNY PEDIATRICS
Street 14430 US HIGHWAY 1 SUITE 103
City SEBASTIAN
State FL
ZIP 32958
Phone 772 581-0300
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/11/2024
Certificate Expiration Date 2/10/2026
Facility Type Physician Office
Lab Director MARZA S. PENNY

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