10D2169423 CLIA NUMBER - PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 10D2169423
  • Facility Name: PEDIATRIC ASSOCIATES
  • Facility Address: 1975 S JOHN YOUNG PARKWAY SUITE 204
    KISSIMMEE, FL
    ZIP 34741
  • Facility Phone: 954 965-7754
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BARBARA ALEXANDER
  • NPI Number: 1033712203
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2169423
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES
Street 1975 S JOHN YOUNG PARKWAY SUITE 204
City KISSIMMEE
State FL
ZIP 34741
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 7/19/2025
Certificate Expiration Date 7/18/2027
Facility Type Physician Office
Lab Director BARBARA ALEXANDER

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