10D0997540 CLIA NUMBER - PEDIATRIC HEALTH CHOICE

Laboratory Demographics

  • CLIA Code: 10D0997540
  • Facility Name: PEDIATRIC HEALTH CHOICE
  • Facility Address: 2102 SW 20TH PL BLDG 500
    OCALA, FL
    ZIP 34474
  • Facility Phone: 352 873-7247
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DEBORAH E. FRAZE
  • NPI Number: 1114509072
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D0997540
LAB Type Other
Facility Name PEDIATRIC HEALTH CHOICE
Street 2102 SW 20TH PL BLDG 500
City OCALA
State FL
ZIP 34474
Phone 352 873-7247
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/19/2024
Certificate Expiration Date 3/18/2026
Facility Type Other
Lab Director DEBORAH E. FRAZE

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