10D1052836 CLIA NUMBER - MICHELLE S PAGE MD PA DBA PACE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D1052836
  • Facility Name: MICHELLE S PAGE MD PA DBA PACE PEDIATRICS
  • Facility Address: 4288 WOODBINE RD
    PACE, FL
    ZIP 32571
  • Facility Phone: 850 995-8600
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MICHELLE S. PAGE
  • NPI Number: 1053369991
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1052836
LAB Type Physician Office
Facility Name MICHELLE S PAGE MD PA DBA PACE PEDIATRICS
Street 4288 WOODBINE RD
City PACE
State FL
ZIP 32571
Phone 850 995-8600
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/6/2024
Certificate Expiration Date 4/5/2026
Facility Type Physician Office
Lab Director MICHELLE S. PAGE

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