10D1028019 CLIA NUMBER - NORTH FLORIDA PEDIATRICS PA

Laboratory Demographics

  • CLIA Code: 10D1028019
  • Facility Name: NORTH FLORIDA PEDIATRICS PA
  • Facility Address: 4051 ATLANTIC BLVD
    JACKSONVILLE, FL
    ZIP 32207
  • Facility Phone: 386 758-0003
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAMELA SANTELICES
  • NPI Number: 1336818632
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1028019
LAB Type Physician Office
Facility Name NORTH FLORIDA PEDIATRICS PA
Street 4051 ATLANTIC BLVD
City JACKSONVILLE
State FL
ZIP 32207
Phone 386 758-0003
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/19/2024
Certificate Expiration Date 7/18/2026
Facility Type Physician Office
Lab Director PAMELA SANTELICES

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