10D1004983 CLIA NUMBER - DOCTORS INLET PEDIATRICS AND PRIMARY CARE

Laboratory Demographics

  • CLIA Code: 10D1004983
  • Facility Name: DOCTORS INLET PEDIATRICS AND PRIMARY CARE
  • Facility Address: 430 COLLEGE DR STE 104-106
    MIDDLEBURG, FL
    ZIP 32068
  • Facility Phone: 904 298-1994
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MILIND V. TILAK
  • NPI Number: 1518328301
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D1004983
LAB Type Physician Office
Facility Name DOCTORS INLET PEDIATRICS AND PRIMARY CARE
Street 430 COLLEGE DR STE 104-106
City MIDDLEBURG
State FL
ZIP 32068
Phone 904 298-1994
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/29/2024
Certificate Expiration Date 10/28/2026
Facility Type Physician Office
Lab Director DR. MILIND V. TILAK

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