10D1036673 CLIA NUMBER - PELICAN PEDIATRAICS LLC

Laboratory Demographics

CLIA Number: 10D1036673

Facility Name: PELICAN PEDIATRAICS LLC

Facility Address:
13832 US HWY 1
SEBASTIAN, FL
ZIP 32958
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Facility Phone Number: 772 581-0636

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1316287394

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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
CertificateType	4
CertificateEffectiveDate	2/8/2023
CertificateExpirationDate	2/7/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024