10D2156911 CLIA NUMBER - PEDIATRICA OF LAKEWOOD RANCH

Laboratory Demographics

  • CLIA Code: 10D2156911
  • Facility Name: PEDIATRICA OF LAKEWOOD RANCH
  • Facility Address: 6995 PROFESSIONAL PKWY EAST
    SARASOTA, FL
    ZIP 34240
  • Facility Phone: 941 355-9374
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: NETA STRUM
  • NPI Number: 1740764349
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2156911
LAB Type Physician Office
Facility Name PEDIATRICA OF LAKEWOOD RANCH
Street 6995 PROFESSIONAL PKWY EAST
City SARASOTA
State FL
ZIP 34240
Phone 941 355-9374
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Physician Office
Lab Director NETA STRUM

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