10D2008123 CLIA NUMBER - PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 10D2008123
  • Facility Name: PEDIATRIC ASSOCIATES
  • Facility Address: 77 US HWY 27 N
    LAKE PLACID, FL
    ZIP 33852
  • Facility Phone: 954 965-7754
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ANVATTI RAGHUVEERA
  • NPI Number: 1710205661
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2008123
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES
Street 77 US HWY 27 N
City LAKE PLACID
State FL
ZIP 33852
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 6/4/2024
Certificate Expiration Date 6/3/2026
Facility Type Physician Office
Lab Director ANVATTI RAGHUVEERA

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