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05D1018675 CLIA NUMBER - ANDREW TEPERSON MD

Laboratory Demographics

CLIA Number: 05D1018675

Facility Name: ANDREW TEPERSON MD

Facility Address:
1224 E AVENUE S STE A
PALMDALE, CA
ZIP 93550
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Facility Phone Number: 661 274-8666

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1598705170

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 05D1018675
LAB Type Physician Office
Facility Name ANDREW TEPERSON MD
Street 1224 E AVENUE S STE A
City PALMDALE
State CA
ZIP 93550
Phone 661 274-8666
CertificateType 4
CertificateEffectiveDate 10/28/2023
CertificateExpirationDate 10/27/2025
FacilityType Waiver

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