05D2287794 CLIA NUMBER - ALWAHAB MD INC

Laboratory Demographics

CLIA Number: 05D2287794

Facility Name: ALWAHAB MD INC

Facility Address:
250 E CHASE AVE STE 110
EL CAJON, CA
ZIP 92020
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Facility Phone Number: 619 499-5006

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1932828589

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	05D2287794
LAB Type	Physician Office
Facility Name	ALWAHAB MD INC
Street	250 E CHASE AVE STE 110
City	EL CAJON
State	CA
ZIP	92020
Phone	619 499-5006
CertificateType	4
CertificateEffectiveDate	8/17/2023
CertificateExpirationDate	8/16/2025
FacilityType	Waiver

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