10D2113953 CLIA NUMBER - ADVANCED PEDIATRIC CARE

Laboratory Demographics

  • CLIA Code: 10D2113953
  • Facility Name: ADVANCED PEDIATRIC CARE
  • Facility Address: 943 CESERY BLVD BLDG G
    JACKSONVILLE, FL
    ZIP 32211
  • Facility Phone: (904) 999-0501
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NOORJAHAN ALI
  • NPI Number: 1619325784
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2113953
LAB Type Physician Office
Facility Name ADVANCED PEDIATRIC CARE
Street 943 CESERY BLVD BLDG G
City JACKSONVILLE
State FL
ZIP 32211
Phone 9049990501
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/3/2024
Certificate Expiration Date 6/2/2026
Facility Type Physician Office
Lab Director NOORJAHAN ALI

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This page was last updated on: 5/18/2026