10D2320175 CLIA NUMBER - PALM BEACH PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 10D2320175
  • Facility Name: PALM BEACH PEDIATRICS LLC
  • Facility Address: 6855 WILSON BLVD STE 2
    JACKSONVILLE, FL
    ZIP 32210
  • Facility Phone: 561 509-5009
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. MICHAEL GLAZIER
  • NPI Number: 1346209244
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2320175
LAB Type Physician Office
Facility Name PALM BEACH PEDIATRICS LLC
Street 6855 WILSON BLVD STE 2
City JACKSONVILLE
State FL
ZIP 32210
Phone 561 509-5009
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 3/13/2025
Certificate Expiration Date 3/12/2027
Facility Type Physician Office
Lab Director DR. MICHAEL GLAZIER

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