10D2005899 CLIA NUMBER - PREMIER PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 10D2005899
  • Facility Name: PREMIER PEDIATRICS LLC
  • Facility Address: 7960 SW 60TH AVE
    OCALA, FL
    ZIP 34476
  • Facility Phone: 352 671-6741
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAHAB EUNUS
  • NPI Number: 1891120960
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2005899
LAB Type Physician Office
Facility Name PREMIER PEDIATRICS LLC
Street 7960 SW 60TH AVE
City OCALA
State FL
ZIP 34476
Phone 352 671-6741
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/7/2024
Certificate Expiration Date 4/6/2026
Facility Type Physician Office
Lab Director SHAHAB EUNUS

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