05D2170912 CLIA NUMBER - TETTEH PEDIATRIC HEALTH, INC

Laboratory Demographics

CLIA Number: 05D2170912

Facility Name: TETTEH PEDIATRIC HEALTH, INC

Facility Address:
7248 SOUTH LAND PARK DRIVE SUITE 118
SACRAMENTO, CA
ZIP 95831
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Facility Phone Number: 916 538-6118

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1053807487

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	05D2170912
LAB Type	Physician Office
Facility Name	TETTEH PEDIATRIC HEALTH, INC
Street	7248 SOUTH LAND PARK DRIVE SUITE 118
City	SACRAMENTO
State	CA
ZIP	95831
Phone	916 538-6118
CertificateType	4
CertificateEffectiveDate	8/21/2023
CertificateExpirationDate	8/20/2025
FacilityType	Waiver

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