10D1072273 CLIA NUMBER - SUNSHINE PEDIATRICS OF LUTZ

Laboratory Demographics

  • CLIA Code: 10D1072273
  • Facility Name: SUNSHINE PEDIATRICS OF LUTZ
  • Facility Address: 18934 N DALE MABRY, STE 101
    LUTZ, FL
    ZIP 33548
  • Facility Phone: 813 948-2679
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: PAYAL P. PATEL
  • NPI Number: 1336365907
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1072273
LAB Type Physician Office
Facility Name SUNSHINE PEDIATRICS OF LUTZ
Street 18934 N DALE MABRY, STE 101
City LUTZ
State FL
ZIP 33548
Phone 813 948-2679
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Physician Office
Lab Director PAYAL P. PATEL

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This page was last updated on: 6/4/2025