10D2069329 CLIA NUMBER - BENNETT PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 10D2069329
  • Facility Name: BENNETT PEDIATRICS LLC
  • Facility Address: 425 CITRUS TOWER BLVD STE 104
    CLERMONT, FL
    ZIP 34711
  • Facility Phone: 352 404-7728
  • Facility Type: Practitioner Other
  • Facility Type: Waiver
  • Lab Director: LORNA BENNETT
  • NPI Number: 1992131080
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2069329
LAB Type Practitioner Other
Facility Name BENNETT PEDIATRICS LLC
Street 425 CITRUS TOWER BLVD STE 104
City CLERMONT
State FL
ZIP 34711
Phone 352 404-7728
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/21/2023
Certificate Expiration Date 11/20/2025
Facility Type Practitioner Other
Lab Director LORNA BENNETT

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