10D1004197 CLIA NUMBER - SUNCOAST PEDIATRIC CARE

Laboratory Demographics

  • CLIA Code: 10D1004197
  • Facility Name: SUNCOAST PEDIATRIC CARE
  • Facility Address: 6800 MARINER BLVD
    BROOKSVILLE, FL
    ZIP 34609
  • Facility Phone: 852 592-2003
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RIZWAN QURESHI MD
  • NPI Number: 1740843614
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1004197
LAB Type Physician Office
Facility Name SUNCOAST PEDIATRIC CARE
Street 6800 MARINER BLVD
City BROOKSVILLE
State FL
ZIP 34609
Phone 852 592-2003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Physician Office
Lab Director RIZWAN QURESHI MD

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