10D1081207 CLIA NUMBER - AMAZON PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D1081207
  • Facility Name: AMAZON PEDIATRICS
  • Facility Address: 4075 PINE RIDGE RD STE 2
    NAPLES, FL
    ZIP 34119
  • Facility Phone: 239 963-9855
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: SUZANNA P. BOKA
  • NPI Number: 1871861229
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1081207
LAB Type Mobile Laboratory
Facility Name AMAZON PEDIATRICS
Street 4075 PINE RIDGE RD STE 2
City NAPLES
State FL
ZIP 34119
Phone 239 963-9855
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/12/2024
Certificate Expiration Date 3/11/2026
Facility Type Mobile Laboratory
Lab Director SUZANNA P. BOKA

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