10D1044919 CLIA NUMBER - PEDIATRICS OF CENTRAL FLORIDA PA

Laboratory Demographics

  • CLIA Code: 10D1044919
  • Facility Name: PEDIATRICS OF CENTRAL FLORIDA PA
  • Facility Address: 3010 17TH ST
    SAINT CLOUD, FL
    ZIP 34769
  • Facility Phone: 407 891-1279
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: MARY K. JANARIOUS MD
  • NPI Number: 1275109993
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1044919
LAB Type Other
Facility Name PEDIATRICS OF CENTRAL FLORIDA PA
Street 3010 17TH ST
City SAINT CLOUD
State FL
ZIP 34769
Phone 407 891-1279
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/1/2023
Certificate Expiration Date 8/31/2025
Facility Type Other
Lab Director MARY K. JANARIOUS MD

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This page was last updated on: 6/4/2025