10D2020975 CLIA NUMBER - CHILDRENS CLINIC WEST FLORIDA PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D2020975
  • Facility Name: CHILDRENS CLINIC WEST FLORIDA PEDIATRICS
  • Facility Address: 405 N CENTRAL AVENUE
    INVERNESS, FL
    ZIP 34453
  • Facility Phone: 352 746-3338
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: UDAY S. HIREMATH
  • NPI Number: 1699037044
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2020975
LAB Type Physician Office
Facility Name CHILDRENS CLINIC WEST FLORIDA PEDIATRICS
Street 405 N CENTRAL AVENUE
City INVERNESS
State FL
ZIP 34453
Phone 352 746-3338
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/3/2025
Certificate Expiration Date 3/2/2027
Facility Type Physician Office
Lab Director UDAY S. HIREMATH

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