10D1003945 CLIA NUMBER - PEDIATRICA OF GAINESVILLE

Laboratory Demographics

  • CLIA Code: 10D1003945
  • Facility Name: PEDIATRICA OF GAINESVILLE
  • Facility Address: 2005 SW 75TH ST STE 10
    GAINESVILLE, FL
    ZIP 32607
  • Facility Phone: 352 333-0085
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANA MOROS HANLEY
  • NPI Number: 1972782225
  • Taxonomy: 364SP0200X - Clinical Nurse Specialist

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CLIA Record

Field Name Field Value
CLIA Number 10D1003945
LAB Type Physician Office
Facility Name PEDIATRICA OF GAINESVILLE
Street 2005 SW 75TH ST STE 10
City GAINESVILLE
State FL
ZIP 32607
Phone 352 333-0085
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/29/2024
Certificate Expiration Date 8/28/2026
Facility Type Physician Office
Lab Director ANA MOROS HANLEY

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