10D2252856 CLIA NUMBER - TRUCARE PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 10D2252856
  • Facility Name: TRUCARE PEDIATRICS LLC
  • Facility Address: 5200 BABCOCK ST NE SUITE 302
    PALM BAY, FL
    ZIP 32905
  • Facility Phone: 505 715-5700
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ERIKA DIOGENE
  • NPI Number: 1922761097
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2252856
LAB Type Physician Office
Facility Name TRUCARE PEDIATRICS LLC
Street 5200 BABCOCK ST NE SUITE 302
City PALM BAY
State FL
ZIP 32905
Phone 505 715-5700
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/15/2024
Certificate Expiration Date 2/14/2026
Facility Type Physician Office
Lab Director ERIKA DIOGENE

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