10D2023459 CLIA NUMBER - EVENING PEDIATRICS INC

Laboratory Demographics

  • CLIA Code: 10D2023459
  • Facility Name: EVENING PEDIATRICS INC
  • Facility Address: 12190 SEMINOLE BLVD
    LARGO, FL
    ZIP 33778
  • Facility Phone: 727 526-9135
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MARIANO CIBRAN
  • NPI Number: 1275109480
  • Taxonomy: 261Q00000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2023459
LAB Type Physician Office
Facility Name EVENING PEDIATRICS INC
Street 12190 SEMINOLE BLVD
City LARGO
State FL
ZIP 33778
Phone 727 526-9135
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/28/2025
Certificate Expiration Date 4/27/2027
Facility Type Physician Office
Lab Director DR. MARIANO CIBRAN

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