10D1009882 CLIA NUMBER - CHILDRENS MEDICAL CENTER

Laboratory Demographics

  • CLIA Code: 10D1009882
  • Facility Name: CHILDRENS MEDICAL CENTER
  • Facility Address: 14861 NW HWY 441
    ALACHUA, FL
    ZIP 32615
  • Facility Phone: 386 462-1911
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANDRES R. VILLAR
  • NPI Number: 1801980909
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1009882
LAB Type Physician Office
Facility Name CHILDRENS MEDICAL CENTER
Street 14861 NW HWY 441
City ALACHUA
State FL
ZIP 32615
Phone 386 462-1911
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/27/2025
Certificate Expiration Date 2/26/2027
Facility Type Physician Office
Lab Director ANDRES R. VILLAR

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