10D2184358 CLIA NUMBER - PEDIATRIC SPECIALTY GROUP INC DBA NICKLAUS CHILDREN'S PEDIATRIC SPECIALIST

Laboratory Demographics

  • CLIA Code: 10D2184358
  • Facility Name: PEDIATRIC SPECIALTY GROUP INC DBA NICKLAUS CHILDREN'S PEDIATRIC SPECIALIST
  • Facility Address: 3445 NW 7 STREET
    MIAMI, FL
    ZIP 33125
  • Facility Phone: 786 624-2538
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: RENE L. LOPEZ-GUERRERO
  • NPI Number: 1679037790
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2184358
LAB Type Physician Office
Facility Name PEDIATRIC SPECIALTY GROUP INC DBA NICKLAUS CHILDREN'S PEDIATRIC SPECIALIST
Street 3445 NW 7 STREET
City MIAMI
State FL
ZIP 33125
Phone 786 624-2538
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/19/2024
Certificate Expiration Date 5/18/2026
Facility Type Physician Office
Lab Director RENE L. LOPEZ-GUERRERO

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