10D0993733 CLIA NUMBER - PEDIATRIC ASSOCIATES

Laboratory Demographics

CLIA Number: 10D0993733

Facility Name: PEDIATRIC ASSOCIATES

Facility Address:
2271 E SEMORAN BLVD
APOPKA, FL
ZIP 32703
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Facility Phone Number: 954 965-7754

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1144626771

Taxonomy: 261QU0200X - Clinic/Center

CLIA Record

Field Name Field Value
CLIA Number 10D0993733
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES
Street 2271 E SEMORAN BLVD
City APOPKA
State FL
ZIP 32703
Phone 954 965-7754
CertificateType 4
CertificateEffectiveDate 7/13/2023
CertificateExpirationDate 7/12/2025
FacilityType Waiver

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