01D2292600 CLIA NUMBER - LITTLE RIVER PEDIATRICS INC

Laboratory Demographics

CLIA Number: 01D2292600

Facility Name: LITTLE RIVER PEDIATRICS INC

Facility Address:
314 WOODWARD AVE, STE C
MUSCLE SHOALS, AL
ZIP 35661
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Facility Phone Number: 256 412-4743

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1154107951

Taxonomy: 208000000X - Pediatrics
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CLIA Record

Field Name	Field Value
CLIA Number	01D2292600
LAB Type	Practitioner Other
Facility Name	LITTLE RIVER PEDIATRICS INC
Street	314 WOODWARD AVE, STE C
City	MUSCLE SHOALS
State	AL
ZIP	35661
Phone	256 412-4743
CertificateType	4
CertificateEffectiveDate	10/26/2023
CertificateExpirationDate	10/25/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024