10D0975927 CLIA NUMBER - BEACHSIDE PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 10D0975927
  • Facility Name: BEACHSIDE PEDIATRICS LLC
  • Facility Address: 1145 KANE CONCOURSE
    BAY HARBOR ISLANDS, FL
    ZIP 33154
  • Facility Phone: 305 865-5439
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDY LIEBERMAN
  • NPI Number: 1265649990
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D0975927
LAB Type Physician Office
Facility Name BEACHSIDE PEDIATRICS LLC
Street 1145 KANE CONCOURSE
City BAY HARBOR ISLANDS
State FL
ZIP 33154
Phone 305 865-5439
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/12/2024
Certificate Expiration Date 12/11/2026
Facility Type Physician Office
Lab Director SANDY LIEBERMAN

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