10D2311785 CLIA NUMBER - CARE ON CALL PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 10D2311785
  • Facility Name: CARE ON CALL PEDIATRICS LLC
  • Facility Address: 466 CAPTIVA DR
    PONTE VEDRA, FL
    ZIP 32081
  • Facility Phone: 561 843-7458
  • Facility Type: Mobile Laboratory
  • Facility Type: Waiver
  • Lab Director: JOHNATHAN A. SALAZAR
  • NPI Number: 1780414144
  • Taxonomy: 261QU0200X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2311785
LAB Type Mobile Laboratory
Facility Name CARE ON CALL PEDIATRICS LLC
Street 466 CAPTIVA DR
City PONTE VEDRA
State FL
ZIP 32081
Phone 561 843-7458
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/30/2024
Certificate Expiration Date 9/29/2026
Facility Type Mobile Laboratory
Lab Director JOHNATHAN A. SALAZAR

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This page was last updated on: 6/4/2025