10D1089649 CLIA NUMBER - PEDIATRICA OF DAYTONA BEACH

Laboratory Demographics

  • CLIA Code: 10D1089649
  • Facility Name: PEDIATRICA OF DAYTONA BEACH
  • Facility Address: 515 HEALTH BLVD
    DAYTONA BEACH, FL
    ZIP 32114
  • Facility Phone: 386 255-7531
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANABELLA TORRES
  • NPI Number: 1710043559
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1089649
LAB Type Physician Office
Facility Name PEDIATRICA OF DAYTONA BEACH
Street 515 HEALTH BLVD
City DAYTONA BEACH
State FL
ZIP 32114
Phone 386 255-7531
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/23/2024
Certificate Expiration Date 9/22/2026
Facility Type Physician Office
Lab Director ANABELLA TORRES

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