10D0958174 CLIA NUMBER - PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 10D0958174
  • Facility Name: PEDIATRIC ASSOCIATES
  • Facility Address: 4972 TOWN CENTER PKWY
    JACKSONVILLE, FL
    ZIP 32246
  • Facility Phone: 954 965-7754
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MARIO IRAHETA
  • NPI Number: 1760786602
  • Taxonomy: 152W00000X - Optometrist

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CLIA Record

Field Name Field Value
CLIA Number 10D0958174
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES
Street 4972 TOWN CENTER PKWY
City JACKSONVILLE
State FL
ZIP 32246
Phone 954 965-7754
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/22/2024
Certificate Expiration Date 8/21/2026
Facility Type Physician Office
Lab Director MARIO IRAHETA

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This page was last updated on: 6/4/2025