10D2206182 CLIA NUMBER - PEDIATRIC ASSOCIATES INC

Laboratory Demographics

  • CLIA Code: 10D2206182
  • Facility Name: PEDIATRIC ASSOCIATES INC
  • Facility Address: 2550 JENKS AVE
    PANAMA CITY, FL
    ZIP 32405
  • Facility Phone: 954 965-7754
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AHMED MOHAMED
  • NPI Number: 1487971842
  • Taxonomy: 208000000X - Pediatrics

Map and Directions

Get Directions

CLIA Record

Field Name Field Value
CLIA Number 10D2206182
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES INC
Street 2550 JENKS AVE
City PANAMA CITY
State FL
ZIP 32405
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 12/17/2024
Certificate Expiration Date 12/16/2026
Facility Type Physician Office
Lab Director AHMED MOHAMED

Download Record

Download this CLIA record record in Text format: Export

Download this CLIA record record in Excel (CSV) format: Export

Download this CLIA record record in XML format: Export

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