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10D0988108 CLIA NUMBER - PEDIATRIC SERVICES AND BREATHING CENTER PA

Laboratory Demographics

CLIA Number: 10D0988108

Facility Name: PEDIATRIC SERVICES AND BREATHING CENTER PA

Facility Address:
1400 US HWY 441N BLDG 940 STE 942
THE VILLAGES, FL
ZIP 32159
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Facility Phone Number: 352 272-0143

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1619163359

Taxonomy: 207RP1001X - Internal Medicine
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

CLIA Record

Field Name Field Value
CLIA Number 10D0988108
LAB Type Physician Office
Facility Name PEDIATRIC SERVICES AND BREATHING CENTER PA
Street 1400 US HWY 441N BLDG 940 STE 942
City THE VILLAGES
State FL
ZIP 32159
Phone 352 272-0143
CertificateType 4
CertificateEffectiveDate 1/14/2023
CertificateExpirationDate 1/13/2025
FacilityType Waiver

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