05D1092028 CLIA NUMBER - DENISE A ALBURY, MD INC

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Laboratory Demographics

CLIA Number: 05D1092028

Facility Name: DENISE A ALBURY, MD INC

Facility Address:
133 N PRAIRIE AVE STE B
INGLEWOOD, CA
ZIP 90301
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Facility Phone Number: 310 419-2223

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1417053257

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	05D1092028
LAB Type	Physician Office
Facility Name	DENISE A ALBURY, MD INC
Street	133 N PRAIRIE AVE STE B
City	INGLEWOOD
State	CA
ZIP	90301
Phone	310 419-2223
CertificateType	4
CertificateEffectiveDate	11/14/2022
CertificateExpirationDate	11/13/2024
FacilityType	Waiver

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