10D2036464 CLIA NUMBER - KIDSWOOD PEDIATRICS CORP

Laboratory Demographics

  • CLIA Code: 10D2036464
  • Facility Name: KIDSWOOD PEDIATRICS CORP
  • Facility Address: 1680 LEE RD
    WINTER PARK, FL
    ZIP 32789
  • Facility Phone: 321 207-0623
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ZULLY AMBROISE
  • NPI Number: 1114298601
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2036464
LAB Type Physician Office
Facility Name KIDSWOOD PEDIATRICS CORP
Street 1680 LEE RD
City WINTER PARK
State FL
ZIP 32789
Phone 321 207-0623
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/8/2024
Certificate Expiration Date 2/7/2026
Facility Type Physician Office
Lab Director ZULLY AMBROISE

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