10D2295878 CLIA NUMBER - PEDIATRIC ASSOCIATES

Laboratory Demographics

  • CLIA Code: 10D2295878
  • Facility Name: PEDIATRIC ASSOCIATES
  • Facility Address: 5851 ST AUGUSTINE RD
    JACKSONVILLE, FL
    ZIP 32207
  • Facility Phone: 954 965-7754
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: BARBARA ALEXANDER
  • NPI Number: 1710346267
  • Taxonomy: 225XP0200X - Occupational Therapist

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CLIA Record

Field Name Field Value
CLIA Number 10D2295878
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATES
Street 5851 ST AUGUSTINE RD
City JACKSONVILLE
State FL
ZIP 32207
Phone 954 965-7754
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/19/2023
Certificate Expiration Date 12/18/2025
Facility Type Physician Office
Lab Director BARBARA ALEXANDER

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