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05D2283345 CLIA NUMBER - VELASCO MEDICAL CORP

Laboratory Demographics

CLIA Number: 05D2283345

Facility Name: VELASCO MEDICAL CORP

Facility Address:
1741 EASTLAKE PKWY SUITE 102
CHULA VISTA, CA
ZIP 91915
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Facility Phone Number: 619 775-8017

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1073277539

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 05D2283345
LAB Type Physician Office
Facility Name VELASCO MEDICAL CORP
Street 1741 EASTLAKE PKWY SUITE 102
City CHULA VISTA
State CA
ZIP 91915
Phone 619 775-8017
CertificateType 4
CertificateEffectiveDate 6/6/2023
CertificateExpirationDate 6/5/2025
FacilityType Waiver

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