10D1086395 CLIA NUMBER - PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 10D1086395
  • Facility Name: PEDIATRIC ASSOCIATES
  • Facility Address: 725 W GRANADA BLVD STE 1
    ORMOND BEACH, FL
    ZIP 32174
  • Facility Phone: 954 965-7754
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARGARET COLPOYS
  • NPI Number: 1346428661
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1086395
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES
Street 725 W GRANADA BLVD STE 1
City ORMOND BEACH
State FL
ZIP 32174
Phone 954 965-7754
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/11/2024
Certificate Expiration Date 7/10/2026
Facility Type Physician Office
Lab Director MARGARET COLPOYS

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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