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08D2064237 CLIA NUMBER - KENT PEDIATRICS LLC

Laboratory Demographics

CLIA Number: 08D2064237

Facility Name: KENT PEDIATRICS LLC

Facility Address:
748 S NEW STREET OFC 1/A
DOVER, DE
ZIP 19904
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Facility Phone Number: 302 264-9691

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1134479462

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 08D2064237
LAB Type Physician Office
Facility Name KENT PEDIATRICS LLC
Street 748 S NEW STREET OFC 1/A
City DOVER
State DE
ZIP 19904
Phone 302 264-9691
CertificateType 4
CertificateEffectiveDate 8/16/2023
CertificateExpirationDate 8/15/2025
FacilityType Waiver

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