Healther Providers Data Logo

05D0990908 CLIA NUMBER - INTERNATIONAL PED MED GRP INC

Laboratory Demographics

CLIA Number: 05D0990908

Facility Name: INTERNATIONAL PED MED GRP INC

Facility Address:
600 INTERNATIONAL BLVD STE 102
OAKLAND, CA
ZIP 94606
Get Directions

Facility Phone Number: 510 208-3540

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1861591752

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 05D0990908
LAB Type Physician Office
Facility Name INTERNATIONAL PED MED GRP INC
Street 600 INTERNATIONAL BLVD STE 102
City OAKLAND
State CA
ZIP 94606
Phone 510 208-3540
CertificateType 4
CertificateEffectiveDate 9/5/2023
CertificateExpirationDate 9/4/2025
FacilityType Waiver

Download Record

Download this CLIA NUMBER record in Text format: Export

Download this CLIA NUMBER record in Excel (CSV) format: Export

Download this CLIA NUMBER record in XML format: Export

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