10D2076417 CLIA NUMBER - GIRALDO E CEPEDA MD PA

Laboratory Demographics

  • CLIA Code: 10D2076417
  • Facility Name: GIRALDO E CEPEDA MD PA
  • Facility Address: 1221 N LAWNWOOD CIRCLE
    FORT PIERCE, FL
    ZIP 34950
  • Facility Phone: 772 467-6587
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: GIRALDO E. CEPEDA
  • NPI Number: 1386798221
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2076417
LAB Type Physician Office
Facility Name GIRALDO E CEPEDA MD PA
Street 1221 N LAWNWOOD CIRCLE
City FORT PIERCE
State FL
ZIP 34950
Phone 772 467-6587
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/26/2025
Certificate Expiration Date 2/25/2027
Facility Type Physician Office
Lab Director GIRALDO E. CEPEDA

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