10D2041469 CLIA NUMBER - VR PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D2041469
  • Facility Name: VR PEDIATRICS
  • Facility Address: 345 CLYDE MORRIS BLVD STE 360
    ORMOND BEACH, FL
    ZIP 32174
  • Facility Phone: 386 677-8880
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: VIRGINIO RODRIQUEZ III
  • NPI Number: 1265869705
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2041469
LAB Type Physician Office
Facility Name VR PEDIATRICS
Street 345 CLYDE MORRIS BLVD STE 360
City ORMOND BEACH
State FL
ZIP 32174
Phone 386 677-8880
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/23/2024
Certificate Expiration Date 5/22/2026
Facility Type Physician Office
Lab Director VIRGINIO RODRIQUEZ III

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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