10D0979005 CLIA NUMBER - PENSACOLA PEDIATRICS MILTON

Laboratory Demographics

  • CLIA Code: 10D0979005
  • Facility Name: PENSACOLA PEDIATRICS MILTON
  • Facility Address: 5834 BERRYHILL ROAD
    MILTON, FL
    ZIP 32570
  • Facility Phone: 850 623-5437
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ANDREA DELACRUZ
  • NPI Number: 1508539834
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0979005
LAB Type Physician Office
Facility Name PENSACOLA PEDIATRICS MILTON
Street 5834 BERRYHILL ROAD
City MILTON
State FL
ZIP 32570
Phone 850 623-5437
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/11/2024
Certificate Expiration Date 10/10/2026
Facility Type Physician Office
Lab Director DR. ANDREA DELACRUZ

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