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10D0869659 CLIA NUMBER - ANANTHA LAKSHMI KRISHNAN MD

Laboratory Demographics

CLIA Number: 10D0869659

Facility Name: ANANTHA LAKSHMI KRISHNAN MD

Facility Address:
126 DEL PRADO BLVD N STE 101
CAPE CORAL, FL
ZIP 33909
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Facility Phone Number: 239 772-3295

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1477629525

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 10D0869659
LAB Type Physician Office
Facility Name ANANTHA LAKSHMI KRISHNAN MD
Street 126 DEL PRADO BLVD N STE 101
City CAPE CORAL
State FL
ZIP 33909
Phone 239 772-3295
CertificateType 4
CertificateEffectiveDate 4/24/2024
CertificateExpirationDate 4/23/2026
FacilityType Waiver

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