05D0572174 CLIA NUMBER - ADOLESCENTS, BABIES & CHILDREN PEDIATR

Laboratory Demographics

CLIA Number: 05D0572174

Facility Name: ADOLESCENTS, BABIES & CHILDREN PEDIATR

Facility Address:
702 WAKE AVENUE AVE
EL CENTRO, CA
ZIP 92243
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Facility Phone Number: (760) 352-7216

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	05D0572174
LAB Type	PHYSICIAN OFFICE
Facility Name	ADOLESCENTS, BABIES & CHILDREN PEDIATR
Street	702 WAKE AVENUE AVE
City	EL CENTRO
State	CA
ZIP	92243
Phone	(760) 352-7216

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This page was last updated on: 1/7/2022