10D1035955 CLIA NUMBER - SAGE PEDIATRICS PA

Laboratory Demographics

  • CLIA Code: 10D1035955
  • Facility Name: SAGE PEDIATRICS PA
  • Facility Address: 199O NE 163RD ST STE 101
    NORTH MIAMI BEACH, FL
    ZIP 33162
  • Facility Phone: 305 949-1275
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: OLAKUNLE T. OLAGBEMI
  • NPI Number: 1710147533
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1035955
LAB Type Physician Office
Facility Name SAGE PEDIATRICS PA
Street 199O NE 163RD ST STE 101
City NORTH MIAMI BEACH
State FL
ZIP 33162
Phone 305 949-1275
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/18/2025
Certificate Expiration Date 1/17/2027
Facility Type Physician Office
Lab Director OLAKUNLE T. OLAGBEMI

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