10D1094271 CLIA NUMBER - PEDIATRIC HEALTH CHOICE

Laboratory Demographics

  • CLIA Code: 10D1094271
  • Facility Name: PEDIATRIC HEALTH CHOICE
  • Facility Address: 330 10TH ST S
    HAINES CITY, FL
    ZIP 33844
  • Facility Phone: 863 422-9050
  • Facility Type: Other
  • Facility Type: Waiver
  • Lab Director: DEBORAH E. FRAZE
  • NPI Number: 1871040527
  • Taxonomy: 261QM3000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D1094271
LAB Type Other
Facility Name PEDIATRIC HEALTH CHOICE
Street 330 10TH ST S
City HAINES CITY
State FL
ZIP 33844
Phone 863 422-9050
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/15/2025
Certificate Expiration Date 1/14/2027
Facility Type Other
Lab Director DEBORAH E. FRAZE

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