10D2014596 CLIA NUMBER - PEDIATRIC ASSOCIATES INC

Laboratory Demographics

  • CLIA Code: 10D2014596
  • Facility Name: PEDIATRIC ASSOCIATES INC
  • Facility Address: 1445 DUNN AVE
    DAYTONA BEACH, FL
    ZIP 32114
  • Facility Phone: 954 965-7754
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BARBARA M. ALEXANDER
  • NPI Number: 1144711334
  • Taxonomy: 251S00000X - Community/Behavioral Health

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CLIA Record

Field Name Field Value
CLIA Number 10D2014596
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES INC
Street 1445 DUNN AVE
City DAYTONA BEACH
State FL
ZIP 32114
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 12/12/2023
Certificate Expiration Date 12/11/2025
Facility Type Physician Office
Lab Director BARBARA M. ALEXANDER

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