10D0948850 CLIA NUMBER - FLORIDA PEDIATRICS-TAI YANG MD

Laboratory Demographics

  • CLIA Code: 10D0948850
  • Facility Name: FLORIDA PEDIATRICS-TAI YANG MD
  • Facility Address: 980 BREVARD AVE
    ROCKLEDGE, FL
    ZIP 32955
  • Facility Phone: 321 633-9973
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TAI FUNG YANG
  • NPI Number: 1548547524
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0948850
LAB Type Physician Office
Facility Name FLORIDA PEDIATRICS-TAI YANG MD
Street 980 BREVARD AVE
City ROCKLEDGE
State FL
ZIP 32955
Phone 321 633-9973
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/21/2024
Certificate Expiration Date 7/20/2026
Facility Type Physician Office
Lab Director TAI FUNG YANG

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