10D2018684 CLIA NUMBER - LOOP PEDIATRICS PA

Laboratory Demographics

  • CLIA Code: 10D2018684
  • Facility Name: LOOP PEDIATRICS PA
  • Facility Address: 1144 CYPRESS GLEN CIR
    KISSIMMEE, FL
    ZIP 34741
  • Facility Phone: 407 483-5900
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SANJAY MEHRA
  • NPI Number: 1205130788
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2018684
LAB Type Physician Office
Facility Name LOOP PEDIATRICS PA
Street 1144 CYPRESS GLEN CIR
City KISSIMMEE
State FL
ZIP 34741
Phone 407 483-5900
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 1/12/2025
Certificate Expiration Date 1/11/2027
Facility Type Physician Office
Lab Director SANJAY MEHRA

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