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Street Address

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1400 US HWY 441 N STE 942
BLDG 940
THE VILLAGES, FL 32159
Phone: (352) 751-4955
County: Lake

Mailing Address

1400 US HWY 441 N STE 942
BLDG 940
THE VILLAGES, FL 32159
County: Lake
Accredited by: Commission on Office Laboratory Accreditation

Emergency Actions:

None
Facility/Provider Type: Clinical Laboratory
Laboratory Director: Not Available
Owner/Licensee: PEDIATRIC SERVICES AND BREATHING CENTER PA
Owner/Licensee Since: 6/25/2001
NamePositionOwnership
NORMARIE M ALBINOBOARD MEMBER/OFFICER100%
Profit Status: For-Profit
Licensed Beds: Not Available
AHCA Number (File Number): 26973213
CLIA Number: 10D0988108
AHCA Field Office: 07
Medicare Status FED CERTIFIED

Services/Characteristics:

Lab Testing Designation :  Waived
Type :  Exclusive Use Physicians Office


Attn Providers: Requests for changes in data must be sent in writing to the AHCA licensing office.
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