07D0094925 CLIA NUMBER - WARREN PEDIATRICS, LLC

Laboratory Demographics

CLIA Number: 07D0094925

Facility Name: WARREN PEDIATRICS, LLC

Facility Address:
81 SOUTH MAIN STREET SUITE 5
WEST HARTFORD, CT
ZIP 06107
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Facility Phone Number: 860 521-4044

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1043451214

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 07D0094925
LAB Type Physician Office
Facility Name WARREN PEDIATRICS, LLC
Street 81 SOUTH MAIN STREET SUITE 5
City WEST HARTFORD
State CT
ZIP 06107
Phone 860 521-4044
CertificateType 4
CertificateEffectiveDate 6/25/2023
CertificateExpirationDate 6/24/2025
FacilityType Waiver

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