10D1087651 CLIA NUMBER - PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 10D1087651
  • Facility Name: PEDIATRIC ASSOCIATES
  • Facility Address: 13453 N MAIN ST STE 503
    JACKSONVILLE, FL
    ZIP 32218
  • Facility Phone: 954 965-7754
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELMARIE SABBAN
  • NPI Number: 1669133799
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1087651
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES
Street 13453 N MAIN ST STE 503
City JACKSONVILLE
State FL
ZIP 32218
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 8/8/2024
Certificate Expiration Date 8/7/2026
Facility Type Physician Office
Lab Director ELMARIE SABBAN

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