10D2048417 CLIA NUMBER - PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 10D2048417
  • Facility Name: PEDIATRIC ASSOCIATES
  • Facility Address: 1601 PARK CENTER DR STE 6B
    ORLANDO, FL
    ZIP 32835
  • Facility Phone: 954 965-7754
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AMRA GAVRIC
  • NPI Number: 1659031961
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 10D2048417
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES
Street 1601 PARK CENTER DR STE 6B
City ORLANDO
State FL
ZIP 32835
Phone 954 965-7754
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/16/2024
Certificate Expiration Date 10/15/2026
Facility Type Physician Office
Lab Director AMRA GAVRIC

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