10D0289267 CLIA NUMBER - PEDIATRIC HEALTH CARE ALLIANCE PA

Laboratory Demographics

CLIA Number: 10D0289267

Facility Name: PEDIATRIC HEALTH CARE ALLIANCE PA

Facility Address:
811 S PARSONS AVENUE
BRANDON, FL
ZIP 33511
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Facility Phone Number: 813 854-2003

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1255007019

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	10D0289267
LAB Type	Physician Office
Facility Name	PEDIATRIC HEALTH CARE ALLIANCE PA
Street	811 S PARSONS AVENUE
City	BRANDON
State	FL
ZIP	33511
Phone	813 854-2003
CertificateType	4
CertificateEffectiveDate	1/20/2024
CertificateExpirationDate	1/19/2026
FacilityType	Waiver

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