10D2312080 CLIA NUMBER - RAINBOW PEDIATRICS PC LLC

Laboratory Demographics

  • CLIA Code: 10D2312080
  • Facility Name: RAINBOW PEDIATRICS PC LLC
  • Facility Address: 870 MACK BAYOU RD SUITE B
    SANTA ROSA BEACH, FL
    ZIP 32459
  • Facility Phone: 850 249-3500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: AHMED REZK
  • NPI Number: 1922779578
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2312080
LAB Type Physician Office
Facility Name RAINBOW PEDIATRICS PC LLC
Street 870 MACK BAYOU RD SUITE B
City SANTA ROSA BEACH
State FL
ZIP 32459
Phone 850 249-3500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/3/2024
Certificate Expiration Date 10/2/2026
Facility Type Physician Office
Lab Director AHMED REZK

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