10D2256885 CLIA NUMBER - PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 10D2256885
  • Facility Name: PEDIATRIC ASSOCIATES
  • Facility Address: 16250 NW 57TH AVE
    MIAMI LAKES, FL
    ZIP 33014
  • Facility Phone: 954 965-7754
  • Facility Type: Physician Office
  • Facility Type: Certificate of Compliance
  • Lab Director: ENRIQUE DIEGUEZ
  • NPI Number: 1154485548
  • Taxonomy: 335E00000X - Prosthetic/Orthotic Supplier

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CLIA Record

Field Name Field Value
CLIA Number 10D2256885
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES
Street 16250 NW 57TH AVE
City MIAMI LAKES
State FL
ZIP 33014
Phone 954 965-7754
Certificate Type Certificate of Compliance
Certificate Type Description This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.
Certificate Effective Date 8/24/2024
Certificate Expiration Date 8/23/2026
Facility Type Physician Office
Lab Director ENRIQUE DIEGUEZ

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