10D1079977 CLIA NUMBER - TREE HOUSE PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 10D1079977
  • Facility Name: TREE HOUSE PEDIATRICS PLLC
  • Facility Address: 9743 SELTEN WAY
    ORLANDO, FL
    ZIP 32827
  • Facility Phone: 407 736-8733
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANNETTE N. NIELSEN
  • NPI Number: 1790973402
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1079977
LAB Type Physician Office
Facility Name TREE HOUSE PEDIATRICS PLLC
Street 9743 SELTEN WAY
City ORLANDO
State FL
ZIP 32827
Phone 407 736-8733
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/18/2025
Certificate Expiration Date 9/17/2027
Facility Type Physician Office
Lab Director ANNETTE N. NIELSEN

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