10D1069582 CLIA NUMBER - KIDS DOC PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D1069582
  • Facility Name: KIDS DOC PEDIATRICS
  • Facility Address: 6400 W NEWBERRY RD STE 109
    GAINESVILLE, FL
    ZIP 32605
  • Facility Phone: 352 331-8167
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: LUIS E. SCACCABARROZZI
  • NPI Number: 1609151315
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1069582
LAB Type Physician Office
Facility Name KIDS DOC PEDIATRICS
Street 6400 W NEWBERRY RD STE 109
City GAINESVILLE
State FL
ZIP 32605
Phone 352 331-8167
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/8/2025
Certificate Expiration Date 6/7/2027
Facility Type Physician Office
Lab Director LUIS E. SCACCABARROZZI

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