10D2168768 CLIA NUMBER - PEDIATRICA OF JULINGTON

Laboratory Demographics

  • CLIA Code: 10D2168768
  • Facility Name: PEDIATRICA OF JULINGTON
  • Facility Address: 4125 RACE TRACK RD UNIT 104
    ST JOHNS, FL
    ZIP 32259
  • Facility Phone: 904 222-6364
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: KENDRA ALEXIS TURNER
  • NPI Number: 1518438936
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2168768
LAB Type Physician Office
Facility Name PEDIATRICA OF JULINGTON
Street 4125 RACE TRACK RD UNIT 104
City ST JOHNS
State FL
ZIP 32259
Phone 904 222-6364
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 KENDRA ALEXIS TURNER

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