10D0980633 CLIA NUMBER - GEORGE D PETERSON MD PA

Laboratory Demographics

  • CLIA Code: 10D0980633
  • Facility Name: GEORGE D PETERSON MD PA
  • Facility Address: 5450 MACDONALD AVENUE SUITE 12
    KEY WEST, FL
    ZIP 33040
  • Facility Phone: 305 293-9555
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GEORGE D. PETERSON
  • NPI Number: 1942397799
  • Taxonomy: 174400000X - Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D0980633
LAB Type Physician Office
Facility Name GEORGE D PETERSON MD PA
Street 5450 MACDONALD AVENUE SUITE 12
City KEY WEST
State FL
ZIP 33040
Phone 305 293-9555
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/7/2024
Certificate Expiration Date 5/6/2026
Facility Type Physician Office
Lab Director GEORGE D. PETERSON

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