10D2279159 CLIA NUMBER - NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC

Laboratory Demographics

  • CLIA Code: 10D2279159
  • Facility Name: NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
  • Facility Address: 4701 NORTH FEDERAL HIGHWAY SUITE 370
    POMPANO BEACH, FL
    ZIP 33064
  • Facility Phone: 954 941-5731
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: ALLEN FURIA
  • NPI Number: 1912604240
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2279159
LAB Type Physician Office
Facility Name NICKLAUS CHILDREN'S PEDIATRIC SPECIALISTS, LLC
Street 4701 NORTH FEDERAL HIGHWAY SUITE 370
City POMPANO BEACH
State FL
ZIP 33064
Phone 954 941-5731
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/30/2025
Certificate Expiration Date 3/29/2027
Facility Type Physician Office
Lab Director ALLEN FURIA

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