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10D0289050 CLIA NUMBER - BOCA PEDIATRIC GROUP

Laboratory Demographics

CLIA Number: 10D0289050

Facility Name: BOCA PEDIATRIC GROUP

Facility Address:
5458 TOWN CENTER ROAD # 20
BOCA RATON, FL
ZIP 33486
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Facility Phone Number: 561 391-6210

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1154402097

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 10D0289050
LAB Type Physician Office
Facility Name BOCA PEDIATRIC GROUP
Street 5458 TOWN CENTER ROAD # 20
City BOCA RATON
State FL
ZIP 33486
Phone 561 391-6210
CertificateType 4
CertificateEffectiveDate 4/1/2023
CertificateExpirationDate 3/31/2025
FacilityType Waiver

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