10D2259933 CLIA NUMBER - GOLD STAR PEDIATRICS, PA

Laboratory Demographics

  • CLIA Code: 10D2259933
  • Facility Name: GOLD STAR PEDIATRICS, PA
  • Facility Address: 3149 BOBCAT VILLAGE CENTER RD
    NORTH PORT, FL
    ZIP 34288
  • Facility Phone: 732 309-1292
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JIGNESH PATEL
  • NPI Number: 1669129342
  • Taxonomy: 2080N0001X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2259933
LAB Type Physician Office
Facility Name GOLD STAR PEDIATRICS, PA
Street 3149 BOBCAT VILLAGE CENTER RD
City NORTH PORT
State FL
ZIP 34288
Phone 732 309-1292
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/12/2024
Certificate Expiration Date 5/11/2026
Facility Type Physician Office
Lab Director JIGNESH PATEL

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