10D2326132 CLIA NUMBER - PEDERSEN MEDICINE PLLC

Laboratory Demographics

  • CLIA Code: 10D2326132
  • Facility Name: PEDERSEN MEDICINE PLLC
  • Facility Address: 1022 MAIN ST, SUITE B
    DUNEDIN, FL
    ZIP 34698
  • Facility Phone: 727 736-6500
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DANIEL A. PEDERSEN
  • NPI Number: 1316818735
  • Taxonomy: 207QA0505X - Family Medicine

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CLIA Record

Field Name Field Value
CLIA Number 10D2326132
LAB Type Physician Office
Facility Name PEDERSEN MEDICINE PLLC
Street 1022 MAIN ST, SUITE B
City DUNEDIN
State FL
ZIP 34698
Phone 727 736-6500
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 6/27/2025
Certificate Expiration Date 6/26/2027
Facility Type Physician Office
Lab Director DANIEL A. PEDERSEN

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