10D1032296 CLIA NUMBER - FLORIDA PEDIATRIC GROUP PA

Laboratory Demographics

  • CLIA Code: 10D1032296
  • Facility Name: FLORIDA PEDIATRIC GROUP PA
  • Facility Address: 250 S WICKHAM RD
    WEST MELBOURNE, FL
    ZIP 32904
  • Facility Phone: 321 752-5210
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MAGED FARID
  • NPI Number: 1528438694
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1032296
LAB Type Physician Office
Facility Name FLORIDA PEDIATRIC GROUP PA
Street 250 S WICKHAM RD
City WEST MELBOURNE
State FL
ZIP 32904
Phone 321 752-5210
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 3/24/2024
Certificate Expiration Date 3/23/2026
Facility Type Physician Office
Lab Director MAGED FARID

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