10D1097370 CLIA NUMBER - ADVANCED PEDIATRIC CENTER LLC

Laboratory Demographics

CLIA Number: 10D1097370

Facility Name: ADVANCED PEDIATRIC CENTER LLC

Facility Address:
11331 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34613
Get Directions

Facility Phone Number: 352 247-2533

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1326503301

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

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
CertificateType	4
CertificateEffectiveDate	3/25/2023
CertificateExpirationDate	3/24/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

This page was last updated on: 4/23/2024