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07D1013869 CLIA NUMBER - RICHARD J LAVOIE, MD PRACTICE OF PEDIATRICS

Laboratory Demographics

CLIA Number: 07D1013869

Facility Name: RICHARD J LAVOIE, MD PRACTICE OF PEDIATRICS

Facility Address:
27 LAFAYETTE STREET
NORWICH, CT
ZIP 06360
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Facility Phone Number: 860 887-1316

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1679562995

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 07D1013869
LAB Type Physician Office
Facility Name RICHARD J LAVOIE, MD PRACTICE OF PEDIATRICS
Street 27 LAFAYETTE STREET
City NORWICH
State CT
ZIP 06360
Phone 860 887-1316
CertificateType 4
CertificateEffectiveDate 6/18/2023
CertificateExpirationDate 6/17/2025
FacilityType Waiver

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