10D1032523 CLIA NUMBER - PEDIATRIC HEALTH CHOICE

Laboratory Demographics

  • CLIA Code: 10D1032523
  • Facility Name: PEDIATRIC HEALTH CHOICE
  • Facility Address: 33021 PROFESSIONAL DR
    LEESBURG, FL
    ZIP 34788
  • Facility Phone: (352) 360-0137
  • Facility Type: Ambulance
  • Facility Type: Waiver
  • Lab Director: DEBORAH E. FRAZE
  • NPI Number: 1710569959
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1032523
LAB Type Ambulance
Facility Name PEDIATRIC HEALTH CHOICE
Street 33021 PROFESSIONAL DR
City LEESBURG
State FL
ZIP 34788
Phone 3523600137
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Ambulance
Lab Director DEBORAH E. FRAZE

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This page was last updated on: 6/29/2026