03D1046327 CLIA NUMBER - BETHESDA PEDIATRICS OF QUEEN CREEK

Laboratory Demographics

CLIA Number: 03D1046327

Facility Name: BETHESDA PEDIATRICS OF QUEEN CREEK

Facility Address:
22707 S ELLSWORTH RD H-101
QUEEN CREEK, AZ
ZIP 85142
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Facility Phone Number: 480 792-9200

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1073102976

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	03D1046327
LAB Type	Physician Office
Facility Name	BETHESDA PEDIATRICS OF QUEEN CREEK
Street	22707 S ELLSWORTH RD H-101
City	QUEEN CREEK
State	AZ
ZIP	85142
Phone	480 792-9200
CertificateType	4
CertificateEffectiveDate	10/5/2023
CertificateExpirationDate	10/4/2025
FacilityType	Waiver

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