10D2077776 CLIA NUMBER - VIPEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 10D2077776
  • Facility Name: VIPEDIATRICS PLLC
  • Facility Address: 5458 TOWN CENTER RD STE 25
    BOCA RATON, FL
    ZIP 33486
  • Facility Phone: 561 923-9635
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: CHAD A. RUDNICK
  • NPI Number: 1376094953
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2077776
LAB Type Physician Office
Facility Name VIPEDIATRICS PLLC
Street 5458 TOWN CENTER RD STE 25
City BOCA RATON
State FL
ZIP 33486
Phone 561 923-9635
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/14/2024
Certificate Expiration Date 5/13/2026
Facility Type Physician Office
Lab Director CHAD A. RUDNICK

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