10D2227187 CLIA NUMBER - BLUEBIRD PEDIATRICS

Laboratory Demographics

  • CLIA Code: 10D2227187
  • Facility Name: BLUEBIRD PEDIATRICS
  • Facility Address: 86 SAGEBRUSH TRAIL
    PONTE VEDRA, FL
    ZIP 32081
  • Facility Phone: 813 326-0005
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JULIE BREDT
  • NPI Number: 1982278784
  • Taxonomy: 207Q00000X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2227187
LAB Type Mobile Laboratory
Facility Name BLUEBIRD PEDIATRICS
Street 86 SAGEBRUSH TRAIL
City PONTE VEDRA
State FL
ZIP 32081
Phone 813 326-0005
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/9/2025
Certificate Expiration Date 6/8/2027
Facility Type Mobile Laboratory
Lab Director JULIE BREDT

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