06D0714501 CLIA NUMBER - AURELIO ETCHEVERRY DO PC DBA DINO-PEDS/DINOSAUR JUNCTION PED

Laboratory Demographics

CLIA Number: 06D0714501

Facility Name: AURELIO ETCHEVERRY DO PC DBA DINO-PEDS/DINOSAUR JUNCTION PED

Facility Address:
1190 BOOKCLIFF AVE #104
GRAND JUNCTION, CO
ZIP 81501
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Facility Phone Number: 970 242-7060

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1346334182

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 06D0714501
LAB Type Physician Office
Facility Name AURELIO ETCHEVERRY DO PC DBA DINO-PEDS/DINOSAUR JUNCTION PED
Street 1190 BOOKCLIFF AVE #104
City GRAND JUNCTION
State CO
ZIP 81501
Phone 970 242-7060
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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