10D1036816 CLIA NUMBER - PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 10D1036816
  • Facility Name: PEDIATRIC ASSOCIATES
  • Facility Address: 317 S DIXIE FREEWAY
    NEW SMYRNA BEACH, FL
    ZIP 32168
  • Facility Phone: 954 965-7754
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CRISTINA GARCIA
  • NPI Number: 1134311640
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1036816
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES
Street 317 S DIXIE FREEWAY
City NEW SMYRNA BEACH
State FL
ZIP 32168
Phone 954 965-7754
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/10/2025
Certificate Expiration Date 2/9/2027
Facility Type Physician Office
Lab Director CRISTINA GARCIA

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