10D2039389 CLIA NUMBER - CEPERO PEDIATRICS PA

Laboratory Demographics

  • CLIA Code: 10D2039389
  • Facility Name: CEPERO PEDIATRICS PA
  • Facility Address: 3488 DEPEW AVE
    PORT CHARLOTTE, FL
    ZIP 33952
  • Facility Phone: 941 764-7923
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BELKIS R. CEPERO
  • NPI Number: 1619233509
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2039389
LAB Type Physician Office
Facility Name CEPERO PEDIATRICS PA
Street 3488 DEPEW AVE
City PORT CHARLOTTE
State FL
ZIP 33952
Phone 941 764-7923
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/16/2025
Certificate Expiration Date 3/15/2027
Facility Type Physician Office
Lab Director BELKIS R. CEPERO

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