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10D0688174 CLIA NUMBER - MYRTLE AVENUE PEDIATRICS INC

Laboratory Demographics

CLIA Number: 10D0688174

Facility Name: MYRTLE AVENUE PEDIATRICS INC

Facility Address:
613 SOUTH MYRTLE AVENUE
CLEARWATER, FL
ZIP 33756
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Facility Phone Number: 727 447-6458

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1548411432

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 10D0688174
LAB Type Physician Office
Facility Name MYRTLE AVENUE PEDIATRICS INC
Street 613 SOUTH MYRTLE AVENUE
City CLEARWATER
State FL
ZIP 33756
Phone 727 447-6458
CertificateType 4
CertificateEffectiveDate 3/17/2024
CertificateExpirationDate 3/16/2026
FacilityType Waiver

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