10D1091517 CLIA NUMBER - ROYAL PALM PEDIATRICS CENTER, LLC

Laboratory Demographics

  • CLIA Code: 10D1091517
  • Facility Name: ROYAL PALM PEDIATRICS CENTER, LLC
  • Facility Address: 11903 SOUTHERN BLVD STE 118
    ROYAL PALM BEACH, FL
    ZIP 33411
  • Facility Phone: 561 429-5898
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GOMATHY MOHAN
  • NPI Number: 1932351368
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1091517
LAB Type Physician Office
Facility Name ROYAL PALM PEDIATRICS CENTER, LLC
Street 11903 SOUTHERN BLVD STE 118
City ROYAL PALM BEACH
State FL
ZIP 33411
Phone 561 429-5898
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/4/2024
Certificate Expiration Date 11/3/2026
Facility Type Physician Office
Lab Director GOMATHY MOHAN

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