05D2051703 CLIA NUMBER - KEVIN WHITE MD

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Laboratory Demographics

CLIA Number: 05D2051703

Facility Name: KEVIN WHITE MD

Facility Address:
2601 E MAIN ST, STE 200
VENTURA, CA
ZIP 93003
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Facility Phone Number: 805 643-7500

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1952495921

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	05D2051703
LAB Type	Physician Office
Facility Name	KEVIN WHITE MD
Street	2601 E MAIN ST, STE 200
City	VENTURA
State	CA
ZIP	93003
Phone	805 643-7500
CertificateType	4
CertificateEffectiveDate	12/26/2022
CertificateExpirationDate	12/25/2024
FacilityType	Waiver

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