10D1063534 CLIA NUMBER - PEDIATRIC HEALTH CHOICE

Laboratory Demographics

  • CLIA Code: 10D1063534
  • Facility Name: PEDIATRIC HEALTH CHOICE
  • Facility Address: 2364 DREW ST
    CLEARWATER, FL
    ZIP 33765
  • Facility Phone: 727 723-1100
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DEBORAH E. FRAZE
  • NPI Number: 1013599257
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1063534
LAB Type Other
Facility Name PEDIATRIC HEALTH CHOICE
Street 2364 DREW ST
City CLEARWATER
State FL
ZIP 33765
Phone 727 723-1100
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/17/2025
Certificate Expiration Date 1/16/2027
Facility Type Other
Lab Director DEBORAH E. FRAZE

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