04D2115733 CLIA NUMBER - PARAGOULD FAMILY CARE, PA

Laboratory Demographics

CLIA Number: 04D2115733

Facility Name: PARAGOULD FAMILY CARE, PA

Facility Address:
5 MARKET PLACE
PARAGOULD, AR
ZIP 72450
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Facility Phone Number: 870 236-4001

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1881887255

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	04D2115733
LAB Type	Physician Office
Facility Name	PARAGOULD FAMILY CARE, PA
Street	5 MARKET PLACE
City	PARAGOULD
State	AR
ZIP	72450
Phone	870 236-4001
CertificateType	3
CertificateEffectiveDate	2/20/2023
CertificateExpirationDate	2/19/2025
FacilityType	PPMP

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