10D2044613 CLIA NUMBER - PSJ PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D2044613
  • Facility Name: PSJ PEDIATRICS
  • Facility Address: 3765 KINGS HIGHWAY
    COCOA, FL
    ZIP 32927
  • Facility Phone: 321 507-4572
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: TARUN JAIN
  • NPI Number: 1922362854
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2044613
LAB Type Physician Office
Facility Name PSJ PEDIATRICS
Street 3765 KINGS HIGHWAY
City COCOA
State FL
ZIP 32927
Phone 321 507-4572
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/26/2024
Certificate Expiration Date 7/25/2026
Facility Type Physician Office
Lab Director TARUN JAIN

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