10D0950896 CLIA NUMBER - PEDIATRIC ASSOCIATES INC

Laboratory Demographics

  • CLIA Code: 10D0950896
  • Facility Name: PEDIATRIC ASSOCIATES INC
  • Facility Address: 1463 NECTARINE ST
    FERNANDINA BEACH, FL
    ZIP 32034
  • Facility Phone: 954 965-7754
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BARBARA S. ALEXANDER
  • NPI Number: 1053432252
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0950896
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES INC
Street 1463 NECTARINE ST
City FERNANDINA BEACH
State FL
ZIP 32034
Phone 954 965-7754
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/31/2024
Certificate Expiration Date 1/30/2026
Facility Type Physician Office
Lab Director BARBARA S. ALEXANDER

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