10D2146736 CLIA NUMBER - PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 10D2146736
  • Facility Name: PEDIATRIC ASSOCIATES
  • Facility Address: 430 COLLEGE DRIVE SUITES 100 - 102
    MIDDLEBURG, FL
    ZIP 32068
  • Facility Phone: 954 965-7754
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BARBARA M. ALEXANDRA
  • NPI Number: 1730685157
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2146736
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES
Street 430 COLLEGE DRIVE SUITES 100 - 102
City MIDDLEBURG
State FL
ZIP 32068
Phone 954 965-7754
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/5/2024
Certificate Expiration Date 4/4/2026
Facility Type Physician Office
Lab Director BARBARA M. ALEXANDRA

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