05D2152736 CLIA NUMBER - LAKSHMI K AVALA MD

Laboratory Demographics

CLIA Number: 05D2152736

Facility Name: LAKSHMI K AVALA MD

Facility Address:
5959 GREENBACK LANE
CITRUS HEIGHTS, CA
ZIP 95621
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Facility Phone Number: 916 847-0450

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1215428784

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	05D2152736
LAB Type	Physician Office
Facility Name	LAKSHMI K AVALA MD
Street	5959 GREENBACK LANE
City	CITRUS HEIGHTS
State	CA
ZIP	95621
Phone	916 847-0450
CertificateType	4
CertificateEffectiveDate	8/16/2022
CertificateExpirationDate	8/15/2024
FacilityType	Waiver

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