05D0577979 CLIA NUMBER - COASTAL KIDS

Laboratory Demographics

CLIA Number: 05D0577979

Facility Name: COASTAL KIDS

Facility Address:
24422 AVENIDA DE LA CARLOTA ST
LAGUNA HILLS, CA
ZIP 92653
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Facility Phone Number: (949) 951-1376

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1740311737

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 05D0577979
LAB Type PHYSICIAN OFFICE
Facility Name COASTAL KIDS
Street 24422 AVENIDA DE LA CARLOTA ST
City LAGUNA HILLS
State CA
ZIP 92653
Phone (949) 951-1376

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