10D1036673 CLIA NUMBER - PELICAN PEDIATRAICS LLC

Laboratory Demographics

  • CLIA Code: 10D1036673
  • Facility Name: PELICAN PEDIATRAICS LLC
  • Facility Address: 13832 US HWY 1
    SEBASTIAN, FL
    ZIP 32958
  • Facility Phone: 772 581-0636
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. ARLEENE SEPULVEDA
  • NPI Number: 1316287394
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1036673
LAB Type Physician Office
Facility Name PELICAN PEDIATRAICS LLC
Street 13832 US HWY 1
City SEBASTIAN
State FL
ZIP 32958
Phone 772 581-0636
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2025
Certificate Expiration Date 2/7/2027
Facility Type Physician Office
Lab Director DR. ARLEENE SEPULVEDA

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