05D0995686 CLIA NUMBER - CENTRAL VALLEY PEDIATRICS

Laboratory Demographics

CLIA Number: 05D0995686

Facility Name: CENTRAL VALLEY PEDIATRICS

Facility Address:
7025 N MAPLE AVE, #108
FRESNO, CA
ZIP 93720
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Facility Phone Number: 559 431-6600

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1003992710

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	05D0995686
LAB Type	Physician Office
Facility Name	CENTRAL VALLEY PEDIATRICS
Street	7025 N MAPLE AVE, #108
City	FRESNO
State	CA
ZIP	93720
Phone	559 431-6600
CertificateType	4
CertificateEffectiveDate	5/23/2022
CertificateExpirationDate	5/22/2024
FacilityType	Waiver

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