48D2239656 CLIA NUMBER - ISLAND PEDIATRICS, LLC

Laboratory Demographics

  • CLIA Code: 48D2239656
  • Facility Name: ISLAND PEDIATRICS, LLC
  • Facility Address: 5030 ANCHOR WAY SUITE 6
    CHRISTIANSTED, VI
    ZIP 00820
  • Facility Phone: 340 202-1997
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: MR. JEFFREY DONNELLY
  • NPI Number: 1477131183
  • Taxonomy: 208000000X - Pediatrics

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CLIA Record

Field Name Field Value
CLIA Number 48D2239656
LAB Type Physician Office
Facility Name ISLAND PEDIATRICS, LLC
Street 5030 ANCHOR WAY SUITE 6
City CHRISTIANSTED
State VI
ZIP 00820
Phone 340 202-1997
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 10/13/2025
Certificate Expiration Date 10/12/2027
Facility Type Physician Office
Lab Director MR. JEFFREY DONNELLY

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