10D0952126 CLIA NUMBER - JUPITER PEDS, LLC

Laboratory Demographics

  • CLIA Code: 10D0952126
  • Facility Name: JUPITER PEDS, LLC
  • Facility Address: 6650 W INDIANTOWN RD STE 110
    JUPITER, FL
    ZIP 33458
  • Facility Phone: 561 575-9876
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PHILIP COLAIZZO
  • NPI Number: 1801821319
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0952126
LAB Type Physician Office
Facility Name JUPITER PEDS, LLC
Street 6650 W INDIANTOWN RD STE 110
City JUPITER
State FL
ZIP 33458
Phone 561 575-9876
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/10/2024
Certificate Expiration Date 10/9/2026
Facility Type Physician Office
Lab Director PHILIP COLAIZZO

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