10D2076434 CLIA NUMBER - NEMOURS CHILDREN'S HEALTH

Laboratory Demographics

  • CLIA Code: 10D2076434
  • Facility Name: NEMOURS CHILDREN'S HEALTH
  • Facility Address: 1371 CITRUS TOWER BLVD
    CLERMONT, FL
    ZIP 34711
  • Facility Phone: 407 650-7006
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ELIZABETH ATHANS
  • NPI Number: 1891364055
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2076434
LAB Type Physician Office
Facility Name NEMOURS CHILDREN'S HEALTH
Street 1371 CITRUS TOWER BLVD
City CLERMONT
State FL
ZIP 34711
Phone 407 650-7006
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/18/2024
Certificate Expiration Date 4/17/2026
Facility Type Physician Office
Lab Director ELIZABETH ATHANS

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This page was last updated on: 6/4/2025