10D2288031 CLIA NUMBER - KIDS PLACE PPEC LLC

Laboratory Demographics

  • CLIA Code: 10D2288031
  • Facility Name: KIDS PLACE PPEC LLC
  • Facility Address: 7910 US HWY 98 N
    LAKELAND, FL
    ZIP 33809
  • Facility Phone: 407 848-9920
  • Facility Type: Other - PPEC
  • Facility Type: Waiver
  • Lab Director: SOFIA E. LUGO
  • NPI Number: 1174307151
  • Taxonomy: 261QM3000X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2288031
LAB Type Other - PPEC
Facility Name KIDS PLACE PPEC LLC
Street 7910 US HWY 98 N
City LAKELAND
State FL
ZIP 33809
Phone 407 848-9920
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/21/2025
Certificate Expiration Date 8/20/2027
Facility Type Other - PPEC
Lab Director SOFIA E. LUGO

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