10D2048669 CLIA NUMBER - STARFISH PEDIATRICS PA

Laboratory Demographics

  • CLIA Code: 10D2048669
  • Facility Name: STARFISH PEDIATRICS PA
  • Facility Address: 4500 HODGES BLVD STE I
    JACKSONVILLE, FL
    ZIP 32224
  • Facility Phone: 904 347-2773
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CARLOS A. MARIA
  • NPI Number: 1447508478
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2048669
LAB Type Physician Office
Facility Name STARFISH PEDIATRICS PA
Street 4500 HODGES BLVD STE I
City JACKSONVILLE
State FL
ZIP 32224
Phone 904 347-2773
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/22/2024
Certificate Expiration Date 10/21/2026
Facility Type Physician Office
Lab Director CARLOS A. MARIA

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