05D2084463 CLIA NUMBER - RUNGTIWA WEERASETHSIRI, MD

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Laboratory Demographics

CLIA Number: 05D2084463

Facility Name: RUNGTIWA WEERASETHSIRI, MD

Facility Address:
700 W OLIVE AVE STE D
MERCED, CA
ZIP 95348
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Facility Phone Number: 209 383-1343

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1093951444

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	05D2084463
LAB Type	Physician Office
Facility Name	RUNGTIWA WEERASETHSIRI, MD
Street	700 W OLIVE AVE STE D
City	MERCED
State	CA
ZIP	95348
Phone	209 383-1343
CertificateType	4
CertificateEffectiveDate	9/24/2022
CertificateExpirationDate	9/23/2024
FacilityType	Waiver

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