10D0998802 CLIA NUMBER - MIDDLEBURG PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D0998802
  • Facility Name: MIDDLEBURG PEDIATRICS
  • Facility Address: 91 BRANSCOMB RD, STE 3
    GREEN COVE SPRINGS, FL
    ZIP 32043
  • Facility Phone: 904 861-1034
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA E. MORA MD
  • NPI Number: 1184657306
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D0998802
LAB Type Physician Office
Facility Name MIDDLEBURG PEDIATRICS
Street 91 BRANSCOMB RD, STE 3
City GREEN COVE SPRINGS
State FL
ZIP 32043
Phone 904 861-1034
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/25/2024
Certificate Expiration Date 4/24/2026
Facility Type Physician Office
Lab Director MARIA E. MORA MD

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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