10D2298672 CLIA NUMBER - PRIORITY PEDIATRICS LLC

Laboratory Demographics

CLIA Number: 10D2298672

Facility Name: PRIORITY PEDIATRICS LLC

Facility Address:
101 SW 3RD ST
OCALA, FL
ZIP 34471
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Facility Phone Number: 352 664-2281

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1952161499

Taxonomy: 363LP0200X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	10D2298672
LAB Type	Physician Office
Facility Name	PRIORITY PEDIATRICS LLC
Street	101 SW 3RD ST
City	OCALA
State	FL
ZIP	34471
Phone	352 664-2281
CertificateType	4
CertificateEffectiveDate	2/6/2024
CertificateExpirationDate	2/5/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024