10D0999117 CLIA NUMBER - MARY L PEPINE MD PLLC

Laboratory Demographics

  • CLIA Code: 10D0999117
  • Facility Name: MARY L PEPINE MD PLLC
  • Facility Address: 727 S FLORIDA AVE
    LAKELAND, FL
    ZIP 33801
  • Facility Phone: 863 687-2055
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: DR. MARY L. PEPINE
  • NPI Number: 1518965672
  • Taxonomy: 207NS0135X - Dermatology

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CLIA Record

Field Name Field Value
CLIA Number 10D0999117
LAB Type Physician Office
Facility Name MARY L PEPINE MD PLLC
Street 727 S FLORIDA AVE
City LAKELAND
State FL
ZIP 33801
Phone 863 687-2055
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 5/6/2024
Certificate Expiration Date 5/5/2026
Facility Type Physician Office
Lab Director DR. MARY L. PEPINE

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