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05D1007645 CLIA NUMBER - PEDIATRIC CARE PHYSICIANS

Laboratory Demographics

CLIA Number: 05D1007645

Facility Name: PEDIATRIC CARE PHYSICIANS

Facility Address:
5353 BALBOA BOULEVARD #200
ENCINO, CA
ZIP 91316
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Facility Phone Number: 818 461-9690

Facility Type: Physician Office

Certificate Type: Microscopy
NPI Number: 1912087057

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 05D1007645
LAB Type Physician Office
Facility Name PEDIATRIC CARE PHYSICIANS
Street 5353 BALBOA BOULEVARD #200
City ENCINO
State CA
ZIP 91316
Phone 818 461-9690
CertificateType 3
CertificateEffectiveDate 12/24/2022
CertificateExpirationDate 12/23/2024
FacilityType PPMP

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