10D2115237 CLIA NUMBER - FLORIDA PEDIATRIC GROUP PA

Laboratory Demographics

  • CLIA Code: 10D2115237
  • Facility Name: FLORIDA PEDIATRIC GROUP PA
  • Facility Address: 2105 PALM BAY ROAD SUITE #1
    PALM BAY, FL
    ZIP 32905
  • Facility Phone: 321 984-8808
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: MAGED D. FARID
  • NPI Number: 1134547482
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2115237
LAB Type Physician Office
Facility Name FLORIDA PEDIATRIC GROUP PA
Street 2105 PALM BAY ROAD SUITE #1
City PALM BAY
State FL
ZIP 32905
Phone 321 984-8808
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 6/3/2025
Certificate Expiration Date 6/2/2027
Facility Type Physician Office
Lab Director MAGED D. FARID

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