10D2184707 CLIA NUMBER - PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 10D2184707
  • Facility Name: PEDIATRIC ASSOCIATES
  • Facility Address: 2140 E EDGEWOOD DR
    LAKELAND, FL
    ZIP 33803
  • Facility Phone: 954 965-7754
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BARBARA ALEXANDER
  • NPI Number: 1093961799
  • Taxonomy: 2080P0214X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2184707
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES
Street 2140 E EDGEWOOD DR
City LAKELAND
State FL
ZIP 33803
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 5/22/2024
Certificate Expiration Date 5/21/2026
Facility Type Physician Office
Lab Director BARBARA ALEXANDER

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