10D1071295 CLIA NUMBER - STAGES PEDIATRIC CARE

Laboratory Demographics

  • CLIA Code: 10D1071295
  • Facility Name: STAGES PEDIATRIC CARE
  • Facility Address: 947 TOWN CENTER DR
    ORANGE CITY, FL
    ZIP 32763
  • Facility Phone: (386) 917-0075
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANDRA DEE
  • NPI Number: 1477881829
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1071295
LAB Type Physician Office
Facility Name STAGES PEDIATRIC CARE
Street 947 TOWN CENTER DR
City ORANGE CITY
State FL
ZIP 32763
Phone 3869170075
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/23/2025
Certificate Expiration Date 7/22/2027
Facility Type Physician Office
Lab Director SANDRA DEE

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This page was last updated on: 5/18/2026