10D2168766 CLIA NUMBER - MUNCHKINS PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D2168766
  • Facility Name: MUNCHKINS PEDIATRICS
  • Facility Address: 13540 17TH ST
    DADE CITY, FL
    ZIP 33525
  • Facility Phone: 352 437-3107
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAUNA M. DESCHAMPS
  • NPI Number: 1558821850
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2168766
LAB Type Physician Office
Facility Name MUNCHKINS PEDIATRICS
Street 13540 17TH ST
City DADE CITY
State FL
ZIP 33525
Phone 352 437-3107
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 7/9/2025
Certificate Expiration Date 7/8/2027
Facility Type Physician Office
Lab Director SHAUNA M. DESCHAMPS

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