10D2321646 CLIA NUMBER - PREMIER PEDIATRICS LLC

Laboratory Demographics

  • CLIA Code: 10D2321646
  • Facility Name: PREMIER PEDIATRICS LLC
  • Facility Address: 2040 NE 95TH ST
    ANTHONY, FL
    ZIP 32617
  • Facility Phone: 352 671-6741
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: SHAHAB EUNUS
  • NPI Number: 1942006853
  • Taxonomy: 261QR1300X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 10D2321646
LAB Type Physician Office
Facility Name PREMIER PEDIATRICS LLC
Street 2040 NE 95TH ST
City ANTHONY
State FL
ZIP 32617
Phone 352 671-6741
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 4/8/2025
Certificate Expiration Date 4/7/2027
Facility Type Physician Office
Lab Director SHAHAB EUNUS

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