10D1055796 CLIA NUMBER - NIGHT LITE PEDIATRIC CENTER, LLC DBA PM PEDIATRIC URGENT CARE

Laboratory Demographics

  • CLIA Code: 10D1055796
  • Facility Name: NIGHT LITE PEDIATRIC CENTER, LLC DBA PM PEDIATRIC URGENT CARE
  • Facility Address: 3801 W LAKE MARY BLVD SUITE 123
    LAKE MARY, FL
    ZIP 32746
  • Facility Phone: 407 585-0568
  • Facility Type: Other - URGENT CARE
  • Facility Type: Waiver
  • Lab Director: OLUDAPO SOREMI
  • NPI Number: 1093474025
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1055796
LAB Type Other - URGENT CARE
Facility Name NIGHT LITE PEDIATRIC CENTER, LLC DBA PM PEDIATRIC URGENT CARE
Street 3801 W LAKE MARY BLVD SUITE 123
City LAKE MARY
State FL
ZIP 32746
Phone 407 585-0568
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Other - URGENT CARE
Lab Director OLUDAPO SOREMI

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