10D1064359 CLIA NUMBER - HEALTHCARE NETWORK CORDERO PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D1064359
  • Facility Name: HEALTHCARE NETWORK CORDERO PEDIATRICS
  • Facility Address: 1090 6TH AVE N
    NAPLES, FL
    ZIP 34102
  • Facility Phone: 239 658-3131
  • Facility Type: Federally Qualified Health Center
  • Facility Type: Waiver
  • Lab Director: JAIMENEE KHEMIRAJ
  • NPI Number: 1407248636
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1064359
LAB Type Federally Qualified Health Center
Facility Name HEALTHCARE NETWORK CORDERO PEDIATRICS
Street 1090 6TH AVE N
City NAPLES
State FL
ZIP 34102
Phone 239 658-3131
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/5/2025
Certificate Expiration Date 2/4/2027
Facility Type Federally Qualified Health Center
Lab Director JAIMENEE KHEMIRAJ

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