10D2325706 CLIA NUMBER - PEDIATRIC PHYSICIAN SERVICES INC

Laboratory Demographics

  • CLIA Code: 10D2325706
  • Facility Name: PEDIATRIC PHYSICIAN SERVICES INC
  • Facility Address: 601 5TH STREET SOUTH, SUITE 605
    SAINT PETERSBURG, FL
    ZIP 33701
  • Facility Phone: 727 767-8988
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL T. MCCLENATHAN
  • NPI Number: 1275568859
  • Taxonomy: 2084N0402X - Psychiatry & Neurology

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CLIA Record

Field Name Field Value
CLIA Number 10D2325706
LAB Type Physician Office
Facility Name PEDIATRIC PHYSICIAN SERVICES INC
Street 601 5TH STREET SOUTH, SUITE 605
City SAINT PETERSBURG
State FL
ZIP 33701
Phone 727 767-8988
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/18/2025
Certificate Expiration Date 6/17/2027
Facility Type Physician Office
Lab Director DANIEL T. MCCLENATHAN

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