10D1004607 CLIA NUMBER - PLANT CITY PEDIATRICS

Laboratory Demographics

CLIA Number: 10D1004607

Facility Name: PLANT CITY PEDIATRICS

Facility Address:
2370 WALDEN WOODS DRIVE SUITE A
PLANT CITY, FL
ZIP 33563
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Facility Phone Number: 813 659-9800

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1376609891

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	10D1004607
LAB Type	Physician Office
Facility Name	PLANT CITY PEDIATRICS
Street	2370 WALDEN WOODS DRIVE SUITE A
City	PLANT CITY
State	FL
ZIP	33563
Phone	813 659-9800
CertificateType	4
CertificateEffectiveDate	10/1/2022
CertificateExpirationDate	9/30/2024
FacilityType	Waiver

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