10D1098341 CLIA NUMBER - LITTLE PINE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D1098341
  • Facility Name: LITTLE PINE PEDIATRICS
  • Facility Address: 1702 S JEFFERSON ST
    PERRY, FL
    ZIP 32348
  • Facility Phone: 850 584-2141
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD EMERICK
  • NPI Number: 1043661994
  • Taxonomy: 261QR1300X - Clinic/Center

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D1098341
LAB Type Physician Office
Facility Name LITTLE PINE PEDIATRICS
Street 1702 S JEFFERSON ST
City PERRY
State FL
ZIP 32348
Phone 850 584-2141
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2025
Certificate Expiration Date 4/15/2027
Facility Type Physician Office
Lab Director RONALD EMERICK

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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