10D2326004 CLIA NUMBER - PEARL PEDIATRIC CLINIC LLC

Laboratory Demographics

  • CLIA Code: 10D2326004
  • Facility Name: PEARL PEDIATRIC CLINIC LLC
  • Facility Address: 15528 W COLONIAL DRIVE SUITE B
    WINTER GARDEN, FL
    ZIP 34787
  • Facility Phone: 321 900-0620
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: IFEYINWA UMEH
  • NPI Number: 1699572818
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 10D2326004
LAB Type Physician Office
Facility Name PEARL PEDIATRIC CLINIC LLC
Street 15528 W COLONIAL DRIVE SUITE B
City WINTER GARDEN
State FL
ZIP 34787
Phone 321 900-0620
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/25/2025
Certificate Expiration Date 6/24/2027
Facility Type Physician Office
Lab Director IFEYINWA UMEH

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