05D0600996 CLIA NUMBER - TRI-VALLEY PEDIATRIC MEDICAL GROUP INC

Laboratory Demographics

CLIA Number: 05D0600996

Facility Name: TRI-VALLEY PEDIATRIC MEDICAL GROUP INC

Facility Address:
5565 WEST LAS POSITAS BOULEVARD, SUITE #240
PLEASANTON, CA
ZIP 94588
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Facility Phone Number: 925 460-8444

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1881778546

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	05D0600996
LAB Type	Physician Office
Facility Name	TRI-VALLEY PEDIATRIC MEDICAL GROUP INC
Street	5565 WEST LAS POSITAS BOULEVARD, SUITE #240
City	PLEASANTON
State	CA
ZIP	94588
Phone	925 460-8444
CertificateType	4
CertificateEffectiveDate	3/2/2023
CertificateExpirationDate	3/1/2025
FacilityType	Waiver

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