10D2191883 CLIA NUMBER - KIDS' CORNER PEDIATRICS PLLC

Laboratory Demographics

  • CLIA Code: 10D2191883
  • Facility Name: KIDS' CORNER PEDIATRICS PLLC
  • Facility Address: 1114 BELL SHOALS RD
    BRANDON, FL
    ZIP 33511
  • Facility Phone: 813 205-0679
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: EVER I. RIVERA
  • NPI Number: 1720603129
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2191883
LAB Type Physician Office
Facility Name KIDS' CORNER PEDIATRICS PLLC
Street 1114 BELL SHOALS RD
City BRANDON
State FL
ZIP 33511
Phone 813 205-0679
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/2/2024
Certificate Expiration Date 9/1/2026
Facility Type Physician Office
Lab Director EVER I. RIVERA

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