07D2083929 CLIA NUMBER - PEDIATRIC HEALTH ASSOCIATES PC

Laboratory Demographics

CLIA Number: 07D2083929

Facility Name: PEDIATRIC HEALTH ASSOCIATES PC

Facility Address:
576 FARMINGTON AVE, SUITE - 2W
HARTFORD, CT
ZIP 06105
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Facility Phone Number: 860 266-4477

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1689074148

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 07D2083929
LAB Type Physician Office
Facility Name PEDIATRIC HEALTH ASSOCIATES PC
Street 576 FARMINGTON AVE, SUITE - 2W
City HARTFORD
State CT
ZIP 06105
Phone 860 266-4477
CertificateType 4
CertificateEffectiveDate 9/16/2022
CertificateExpirationDate 9/15/2024
FacilityType Waiver

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