10D2025984 CLIA NUMBER - SONNIS PEDIATRICS PA

Laboratory Demographics

  • CLIA Code: 10D2025984
  • Facility Name: SONNIS PEDIATRICS PA
  • Facility Address: 1125 S SIXTH AVE
    WACHULA, FL
    ZIP 33873
  • Facility Phone: 863 382-0566
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RAJESWARI SONNI
  • NPI Number: 1760776900
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2025984
LAB Type Physician Office
Facility Name SONNIS PEDIATRICS PA
Street 1125 S SIXTH AVE
City WACHULA
State FL
ZIP 33873
Phone 863 382-0566
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/22/2025
Certificate Expiration Date 6/21/2027
Facility Type Physician Office
Lab Director RAJESWARI SONNI

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