10D0981271 CLIA NUMBER - RAINBOW PEDIATRICS PA

Laboratory Demographics

CLIA Number: 10D0981271

Facility Name: RAINBOW PEDIATRICS PA

Facility Address:
101 PARK PLACE BLVD, STE A
DAVENPORT, FL
ZIP 33837
Get Directions

Facility Phone Number: 863 421-2799

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1023230935

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D0981271
LAB Type	Physician Office
Facility Name	RAINBOW PEDIATRICS PA
Street	101 PARK PLACE BLVD, STE A
City	DAVENPORT
State	FL
ZIP	33837
Phone	863 421-2799
CertificateType	4
CertificateEffectiveDate	12/21/2022
CertificateExpirationDate	12/20/2024
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024