10D0980569 CLIA NUMBER - LONGWOOD PEDIATRICS LLC

Laboratory Demographics

CLIA Number: 10D0980569

Facility Name: LONGWOOD PEDIATRICS LLC

Facility Address:
1400 WEST STATE ROAD 434 SUITE 1010
LONGWOOD, FL
ZIP 32750
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Facility Phone Number: 407 644-9970

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1467891531

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	10D0980569
LAB Type	Physician Office
Facility Name	LONGWOOD PEDIATRICS LLC
Street	1400 WEST STATE ROAD 434 SUITE 1010
City	LONGWOOD
State	FL
ZIP	32750
Phone	407 644-9970
CertificateType	4
CertificateEffectiveDate	11/28/2022
CertificateExpirationDate	11/27/2024
FacilityType	Waiver

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