10D2030940 CLIA NUMBER - DR Q PEDIATRICS

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Laboratory Demographics

CLIA Number: 10D2030940

Facility Name: DR Q PEDIATRICS

Facility Address:
448 S ALAFAYA TRL STE 1
ORLANDO, FL
ZIP 32828
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Facility Phone Number: 407 275-5700

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1649419458

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	10D2030940
LAB Type	Physician Office
Facility Name	DR Q PEDIATRICS
Street	448 S ALAFAYA TRL STE 1
City	ORLANDO
State	FL
ZIP	32828
Phone	407 275-5700
CertificateType	4
CertificateEffectiveDate	10/7/2023
CertificateExpirationDate	10/6/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024