10D0985472 CLIA NUMBER - PEDIATRIC PHYSICIAN SERVICES INC

Laboratory Demographics

  • CLIA Code: 10D0985472
  • Facility Name: PEDIATRIC PHYSICIAN SERVICES INC
  • Facility Address: 5881 RAND BLVD
    SARASOTA, FL
    ZIP 34238
  • Facility Phone: 727 767-8596
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PATRICIA J. BLANCO
  • NPI Number: 1770532798
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D0985472
LAB Type Physician Office
Facility Name PEDIATRIC PHYSICIAN SERVICES INC
Street 5881 RAND BLVD
City SARASOTA
State FL
ZIP 34238
Phone 727 767-8596
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/19/2025
Certificate Expiration Date 4/18/2027
Facility Type Physician Office
Lab Director PATRICIA J. BLANCO

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