10D2137506 CLIA NUMBER - NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS AT BOYNTON BEACH

Laboratory Demographics

  • CLIA Code: 10D2137506
  • Facility Name: NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS AT BOYNTON BEACH
  • Facility Address: 10383 HAGEN RANCH RD - STE 200
    BOYNTON BEACH, FL
    ZIP 33437
  • Facility Phone: 561 799-7272
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JUAN D. OTERO MEJIA
  • NPI Number: 1316468259
  • Taxonomy: 2080P0202X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2137506
LAB Type Physician Office
Facility Name NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS AT BOYNTON BEACH
Street 10383 HAGEN RANCH RD - STE 200
City BOYNTON BEACH
State FL
ZIP 33437
Phone 561 799-7272
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/28/2025
Certificate Expiration Date 9/27/2027
Facility Type Physician Office
Lab Director JUAN D. OTERO MEJIA

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