10D0965336 CLIA NUMBER - POLK PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D0965336
  • Facility Name: POLK PEDIATRICS
  • Facility Address: 1265 E MAIN STREET
    BARTOW, FL
    ZIP 33830
  • Facility Phone: 941 534-3737
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANANTH K. PILLAI
  • NPI Number: 1376689711
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0965336
LAB Type Physician Office
Facility Name POLK PEDIATRICS
Street 1265 E MAIN STREET
City BARTOW
State FL
ZIP 33830
Phone 941 534-3737
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/20/2025
Certificate Expiration Date 9/19/2027
Facility Type Physician Office
Lab Director ANANTH K. PILLAI

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