05D1020391 CLIA NUMBER - CHILDREN'S HEALTHCARE MEDICAL ASSOC

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Laboratory Demographics

CLIA Number: 05D1020391

Facility Name: CHILDREN'S HEALTHCARE MEDICAL ASSOC

Facility Address:
550 WASHINTON STREET SUITE 300
SAN DIEGO, CA
ZIP 92103
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Facility Phone Number: 619 297-5437

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1881701332

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	05D1020391
LAB Type	Physician Office
Facility Name	CHILDREN'S HEALTHCARE MEDICAL ASSOC
Street	550 WASHINTON STREET SUITE 300
City	SAN DIEGO
State	CA
ZIP	92103
Phone	619 297-5437
CertificateType	3
CertificateEffectiveDate	12/18/2023
CertificateExpirationDate	12/17/2025
FacilityType	PPMP

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