10D1094555 CLIA NUMBER - PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 10D1094555
  • Facility Name: PEDIATRIC ASSOCIATES
  • Facility Address: 555 NW LAKE WHITNEY PL STE 102
    PORT SAINT LUCIE, FL
    ZIP 34986
  • Facility Phone: 954 965-7754
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAMON CHIONG
  • NPI Number: 1730326166
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1094555
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES
Street 555 NW LAKE WHITNEY PL STE 102
City PORT SAINT LUCIE
State FL
ZIP 34986
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 5/30/2025
Certificate Expiration Date 5/29/2027
Facility Type Physician Office
Lab Director RAMON CHIONG

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