10D2110548 CLIA NUMBER - CHRISTAKIS PEDIATRICS

Laboratory Demographics

CLIA Number: 10D2110548

Facility Name: CHRISTAKIS PEDIATRICS

Facility Address:
333 CAMINO GARDENS BLVD STE 100
BOCA RATON, FL
ZIP 33432
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Facility Phone Number: 561 392-4453

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1548556657

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	10D2110548
LAB Type	Physician Office
Facility Name	CHRISTAKIS PEDIATRICS
Street	333 CAMINO GARDENS BLVD STE 100
City	BOCA RATON
State	FL
ZIP	33432
Phone	561 392-4453
CertificateType	4
CertificateEffectiveDate	3/16/2024
CertificateExpirationDate	3/15/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024