10D2084869 CLIA NUMBER - SUMTER PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D2084869
  • Facility Name: SUMTER PEDIATRICS
  • Facility Address: 617 S US HWY 301 STE B
    SUMTERVILLE, FL
    ZIP 33585
  • Facility Phone: 352 569-4980
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MOHAMMAD AFZAL
  • NPI Number: 1174924757
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2084869
LAB Type Physician Office
Facility Name SUMTER PEDIATRICS
Street 617 S US HWY 301 STE B
City SUMTERVILLE
State FL
ZIP 33585
Phone 352 569-4980
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/2/2024
Certificate Expiration Date 10/1/2026
Facility Type Physician Office
Lab Director MOHAMMAD AFZAL

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