10D2050998 CLIA NUMBER - PEDIATRIC AND NEONATAL OF SOUTH FLORIDA LLC

Laboratory Demographics

  • CLIA Code: 10D2050998
  • Facility Name: PEDIATRIC AND NEONATAL OF SOUTH FLORIDA LLC
  • Facility Address: 10621 N KENDALL DR STE 113
    MIAMI, FL
    ZIP 33176
  • Facility Phone: 305 670-6006
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MARIA C. GUTIERREZ
  • NPI Number: 1578675849
  • Taxonomy: 235Z00000X - Speech-Language Pathologist

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CLIA Record

Field Name Field Value
CLIA Number 10D2050998
LAB Type Physician Office
Facility Name PEDIATRIC AND NEONATAL OF SOUTH FLORIDA LLC
Street 10621 N KENDALL DR STE 113
City MIAMI
State FL
ZIP 33176
Phone 305 670-6006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/11/2024
Certificate Expiration Date 12/10/2026
Facility Type Physician Office
Lab Director MARIA C. GUTIERREZ

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