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05D0911357 CLIA NUMBER - PEDIATRIC & ADULT MEDICINE INC

Laboratory Demographics

CLIA Number: 05D0911357

Facility Name: PEDIATRIC & ADULT MEDICINE INC

Facility Address:
18102 IRVINE BLVD STE 103
TUSTIN, CA
ZIP 92780
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Facility Phone Number: 714 565-7960

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1437216926

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 05D0911357
LAB Type Physician Office
Facility Name PEDIATRIC & ADULT MEDICINE INC
Street 18102 IRVINE BLVD STE 103
City TUSTIN
State CA
ZIP 92780
Phone 714 565-7960
CertificateType 4
CertificateEffectiveDate 1/2/2023
CertificateExpirationDate 1/1/2025
FacilityType Waiver

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