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10D0671219 CLIA NUMBER - LAKESIDE PEDIATRICS

Laboratory Demographics

CLIA Number: 10D0671219

Facility Name: LAKESIDE PEDIATRICS

Facility Address:
2929 LAKELAND HILLS BLVD
LAKELAND, FL
ZIP 33805
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Facility Phone Number: 863 688-3550

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1518973973

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 10D0671219
LAB Type Physician Office
Facility Name LAKESIDE PEDIATRICS
Street 2929 LAKELAND HILLS BLVD
City LAKELAND
State FL
ZIP 33805
Phone 863 688-3550
CertificateType 4
CertificateEffectiveDate 12/23/2023
CertificateExpirationDate 12/22/2025
FacilityType Waiver

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