10D2271024 CLIA NUMBER - NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC

Laboratory Demographics

  • CLIA Code: 10D2271024
  • Facility Name: NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
  • Facility Address: 7800 SW 87TH AVENUE, C-350
    MIAMI, FL
    ZIP 33173
  • Facility Phone: 305 669-6505
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JOANNA PERDOMO
  • NPI Number: 1407552730
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2271024
LAB Type Physician Office
Facility Name NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Street 7800 SW 87TH AVENUE, C-350
City MIAMI
State FL
ZIP 33173
Phone 305 669-6505
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/26/2024
Certificate Expiration Date 10/25/2026
Facility Type Physician Office
Lab Director JOANNA PERDOMO

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