10D2095384 CLIA NUMBER - NIGHT LITE PEDIATRIC CENTER, LLC

Laboratory Demographics

  • CLIA Code: 10D2095384
  • Facility Name: NIGHT LITE PEDIATRIC CENTER, LLC
  • Facility Address: 145 PALM BAY RD NE
    MELBOURNE, FL
    ZIP 32904
  • Facility Phone: 321 608-3595
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DONALD SAVAGE
  • NPI Number: 1154081123
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2095384
LAB Type Physician Office
Facility Name NIGHT LITE PEDIATRIC CENTER, LLC
Street 145 PALM BAY RD NE
City MELBOURNE
State FL
ZIP 32904
Phone 321 608-3595
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/30/2025
Certificate Expiration Date 4/29/2027
Facility Type Physician Office
Lab Director DONALD SAVAGE

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