10D1065877 CLIA NUMBER - PEDIATRIC CARE CENTER NO 2 INC

Laboratory Demographics

  • CLIA Code: 10D1065877
  • Facility Name: PEDIATRIC CARE CENTER NO 2 INC
  • Facility Address: 2135 S CONGRESS AVE BLDG 2 STE A-B
    PALM SPRINGS, FL
    ZIP 33406
  • Facility Phone: 561 641-0811
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ARMANDO GONZALEZ
  • NPI Number: 1386994952
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1065877
LAB Type Physician Office
Facility Name PEDIATRIC CARE CENTER NO 2 INC
Street 2135 S CONGRESS AVE BLDG 2 STE A-B
City PALM SPRINGS
State FL
ZIP 33406
Phone 561 641-0811
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2025
Certificate Expiration Date 3/11/2027
Facility Type Physician Office
Lab Director ARMANDO GONZALEZ

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