10D1097370 CLIA NUMBER - ADVANCED PEDIATRIC CENTER LLC

Laboratory Demographics

  • CLIA Code: 10D1097370
  • Facility Name: ADVANCED PEDIATRIC CENTER LLC
  • Facility Address: 11331 CORTEZ BLVD
    BROOKSVILLE, FL
    ZIP 34613
  • Facility Phone: 352 247-2533
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MUHAMMAD K. SAMI
  • NPI Number: 1326503301
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D1097370
LAB Type Physician Office
Facility Name ADVANCED PEDIATRIC CENTER LLC
Street 11331 CORTEZ BLVD
City BROOKSVILLE
State FL
ZIP 34613
Phone 352 247-2533
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/25/2025
Certificate Expiration Date 3/24/2027
Facility Type Physician Office
Lab Director MUHAMMAD K. SAMI

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