10D1020541 CLIA NUMBER - PETER PITOCCHI MD PA

Laboratory Demographics

  • CLIA Code: 10D1020541
  • Facility Name: PETER PITOCCHI MD PA
  • Facility Address: 1555 KINGSLEY AVE STE 501
    ORANGE PARK, FL
    ZIP 32073
  • Facility Phone: 904 264-2402
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PETER J. PITOCCHI
  • NPI Number: 1750397519
  • Taxonomy: 207R00000X - Internal Medicine

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1020541
LAB Type Physician Office
Facility Name PETER PITOCCHI MD PA
Street 1555 KINGSLEY AVE STE 501
City ORANGE PARK
State FL
ZIP 32073
Phone 904 264-2402
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/23/2023
Certificate Expiration Date 12/22/2025
Facility Type Physician Office
Lab Director PETER J. PITOCCHI

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

This page was last updated on: 3/20/2025