10D2043308 CLIA NUMBER - LITTLE PINE PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D2043308
  • Facility Name: LITTLE PINE PEDIATRICS
  • Facility Address: 194 NE HANCOCK AVE
    MADISON, FL
    ZIP 32340
  • Facility Phone: 850 253-2275
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RONALD EMERICK
  • NPI Number: 1043761539
  • Taxonomy: 261QP2300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2043308
LAB Type Physician Office
Facility Name LITTLE PINE PEDIATRICS
Street 194 NE HANCOCK AVE
City MADISON
State FL
ZIP 32340
Phone 850 253-2275
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/29/2024
Certificate Expiration Date 6/28/2026
Facility Type Physician Office
Lab Director RONALD EMERICK

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