10D0996422 CLIA NUMBER - CHILDREN'S MEDICAL GROUP

Laboratory Demographics

CLIA Number: 10D0996422

Facility Name: CHILDREN'S MEDICAL GROUP

Facility Address:
1749 SE 28TH LOOP
OCALA, FL
ZIP 34471
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Facility Phone Number: 352 369-8690

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1194031369

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	10D0996422
LAB Type	Physician Office
Facility Name	CHILDREN'S MEDICAL GROUP
Street	1749 SE 28TH LOOP
City	OCALA
State	FL
ZIP	34471
Phone	352 369-8690
CertificateType	4
CertificateEffectiveDate	2/19/2024
CertificateExpirationDate	2/18/2026
FacilityType	Waiver

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