10D1045528 CLIA NUMBER - PEDIATRICS IN BREVARD PA

Laboratory Demographics

  • CLIA Code: 10D1045528
  • Facility Name: PEDIATRICS IN BREVARD PA
  • Facility Address: 8057 SPYGLASS HILL RD STE 102
    MELBOURNE, FL
    ZIP 32940
  • Facility Phone: 321 435-9800
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: JOHN C. KENNEDY
  • NPI Number: 1003807637
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1045528
LAB Type Physician Office
Facility Name PEDIATRICS IN BREVARD PA
Street 8057 SPYGLASS HILL RD STE 102
City MELBOURNE
State FL
ZIP 32940
Phone 321 435-9800
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Physician Office
Lab Director JOHN C. KENNEDY

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