02D0640772 CLIA NUMBER - LATOUCHE PEDIATRICS LLC

Laboratory Demographics

CLIA Number: 02D0640772

Facility Name: LATOUCHE PEDIATRICS LLC

Facility Address:
3340 PROVIDENCE DR SUITE 452
ANCHORAGE, AK
ZIP 99508
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Facility Phone Number: 907 562-2120

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1457328601

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	02D0640772
LAB Type	Physician Office
Facility Name	LATOUCHE PEDIATRICS LLC
Street	3340 PROVIDENCE DR SUITE 452
City	ANCHORAGE
State	AK
ZIP	99508
Phone	907 562-2120
CertificateType	4
CertificateEffectiveDate	2/9/2024
CertificateExpirationDate	2/8/2026
FacilityType	Waiver

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