10D0986750 CLIA NUMBER - TOTAL PEDIATRIC HEALTHCARE

Laboratory Demographics

  • CLIA Code: 10D0986750
  • Facility Name: TOTAL PEDIATRIC HEALTHCARE
  • Facility Address: 131 N OAKWOOD AVENUE
    BRANDON, FL
    ZIP 33510
  • Facility Phone: 813 655-5106
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: STEWART A. GRANT
  • NPI Number: 1639447352
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0986750
LAB Type Physician Office
Facility Name TOTAL PEDIATRIC HEALTHCARE
Street 131 N OAKWOOD AVENUE
City BRANDON
State FL
ZIP 33510
Phone 813 655-5106
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2025
Certificate Expiration Date 5/22/2027
Facility Type Physician Office
Lab Director STEWART A. GRANT

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