CLIA lab

CLIA 10D2331582: 407 Pediatrics LLC

Davenport, FL. Certificate and address details from the CMS Provider of Services file for clinical laboratories.

CLIA number 10D2331582 belongs to 407 Pediatrics LLC in Davenport, FL.

Certificate of Waiver, effective October 6, 2025, expires October 5, 2027.

Active in the CMS Provider of Services file posted October 16, 2026.

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

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Certificate

Certificate type
Certificate of Waiver
Certificate effective
October 6, 2025
Certificate expiration
October 5, 2027
Status in the CMS file
Active (termination code 00)
Original participation date
October 6, 2025
Facility type
Physician office
Ownership (control type)
Proprietary
Lab classification
CLIA laboratory

Source: CMS Provider of Services File, Clinical Laboratories (CLIA), as of October 16, 2026. Publisher page

Lab and contact

CLIA number
10D2331582
Lab name
407 Pediatrics LLC
Address
161 Webb Dr, Ste 300, Davenport, FL 33837
Phone
(407) 873-5979

Annual test volume the lab reported

Waived tests
2,000

Volumes are what the lab reported to CMS on its CMS-116 application, as carried in the file.

Other labs in Davenport, FL

Related

Questions

What is the CLIA number for 407 Pediatrics LLC in Davenport?

10D2331582, per the CMS Provider of Services file posted October 16, 2026.

What CLIA certificate does 407 Pediatrics LLC hold?

A Certificate of Waiver, according to the CMS file.

When does CLIA 10D2331582 expire?

The CMS file lists October 5, 2027 as the certificate expiration date; the certificate took effect October 6, 2025.

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