10D2020184 CLIA NUMBER - PEDIATRIC SPECIALTY CLINIC COLLIER

Laboratory Demographics

  • CLIA Code: 10D2020184
  • Facility Name: PEDIATRIC SPECIALTY CLINIC COLLIER
  • Facility Address: 3361 PINE RIDGE RD STE 201
    NAPLES, FL
    ZIP 34109
  • Facility Phone: 239 254-4270
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ASJAD KHAN
  • NPI Number: 1063869808
  • Taxonomy: 2251P0200X - Physical Therapist

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CLIA Record

Field Name Field Value
CLIA Number 10D2020184
LAB Type Physician Office
Facility Name PEDIATRIC SPECIALTY CLINIC COLLIER
Street 3361 PINE RIDGE RD STE 201
City NAPLES
State FL
ZIP 34109
Phone 239 254-4270
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2025
Certificate Expiration Date 2/14/2027
Facility Type Physician Office
Lab Director ASJAD KHAN

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