10D0916989 CLIA NUMBER - PEDIATRIC ENDOCRINE AND DIABETES SPECIALISTS

Laboratory Demographics

CLIA Number: 10D0916989

Facility Name: PEDIATRIC ENDOCRINE AND DIABETES SPECIALISTS

Facility Address:
927 45TH ST SUITE 206
WEST PALM BEACH, FL
ZIP 33407
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Facility Phone Number: 561 624-1985

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1558324848

Taxonomy: 2080P0205X - Pediatrics
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.

CLIA Record

Field Name	Field Value
CLIA Number	10D0916989
LAB Type	Physician Office
Facility Name	PEDIATRIC ENDOCRINE AND DIABETES SPECIALISTS
Street	927 45TH ST SUITE 206
City	WEST PALM BEACH
State	FL
ZIP	33407
Phone	561 624-1985
CertificateType	4
CertificateEffectiveDate	7/8/2022
CertificateExpirationDate	7/7/2024
FacilityType	Waiver

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