10D0993387 CLIA NUMBER - BRANKO D PEJIC MD FAMILY PRACTICE

Laboratory Demographics

  • CLIA Code: 10D0993387
  • Facility Name: BRANKO D PEJIC MD FAMILY PRACTICE
  • Facility Address: 6305 PLEASANT AVE
    PORT SAINT JOHN, FL
    ZIP 32927
  • Facility Phone: 321 638-4199
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BRANKO D. PEJIC
  • NPI Number: 1548371727
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D0993387
LAB Type Physician Office
Facility Name BRANKO D PEJIC MD FAMILY PRACTICE
Street 6305 PLEASANT AVE
City PORT SAINT JOHN
State FL
ZIP 32927
Phone 321 638-4199
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/14/2023
Certificate Expiration Date 11/13/2025
Facility Type Physician Office
Lab Director BRANKO D. PEJIC

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