10D2302811 CLIA NUMBER - DAYTONA PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 10D2302811
  • Facility Name: DAYTONA PEDIATRICS LLC
  • Facility Address: 915 BIG TREE ROAD
    SOUTH DAYTONA, FL
    ZIP 32119
  • Facility Phone: 386 281-3397
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JAIME QUINTEROS
  • NPI Number: 1205399060
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2302811
LAB Type Physician Office
Facility Name DAYTONA PEDIATRICS LLC
Street 915 BIG TREE ROAD
City SOUTH DAYTONA
State FL
ZIP 32119
Phone 386 281-3397
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/16/2024
Certificate Expiration Date 4/15/2026
Facility Type Physician Office
Lab Director JAIME QUINTEROS

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