06D2145039 CLIA NUMBER - PEDIATRIC ASSOCIATES

Laboratory Demographics

CLIA Number: 06D2145039

Facility Name: PEDIATRIC ASSOCIATES

Facility Address:
906 SOUTH 4TH ST
MONTROSE, CO
ZIP 81401
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Facility Phone Number: 970 249-2421

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1033614334

Taxonomy: 2080A0000X - Pediatrics
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

CLIA Record

Field Name	Field Value
CLIA Number	06D2145039
LAB Type	Physician Office
Facility Name	PEDIATRIC ASSOCIATES
Street	906 SOUTH 4TH ST
City	MONTROSE
State	CO
ZIP	81401
Phone	970 249-2421
CertificateType	4
CertificateEffectiveDate	2/27/2024
CertificateExpirationDate	2/26/2026
FacilityType	Waiver

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