10D0978220 CLIA NUMBER - PEDIATRIC WIZARDS, PA

Laboratory Demographics

  • CLIA Code: 10D0978220
  • Facility Name: PEDIATRIC WIZARDS, PA
  • Facility Address: 1310 WEST EAU GALLIE BLVD STE C
    MELBOURNE, FL
    ZIP 32935
  • Facility Phone: 321 255-3434
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DAVID A. HELFT MD
  • NPI Number: 1730509811
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0978220
LAB Type Physician Office
Facility Name PEDIATRIC WIZARDS, PA
Street 1310 WEST EAU GALLIE BLVD STE C
City MELBOURNE
State FL
ZIP 32935
Phone 321 255-3434
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/19/2024
Certificate Expiration Date 9/18/2026
Facility Type Physician Office
Lab Director DAVID A. HELFT MD

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