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10D1030051 CLIA NUMBER - EAST LAKE PEDIATRICS

Laboratory Demographics

CLIA Number: 10D1030051

Facility Name: EAST LAKE PEDIATRICS

Facility Address:
4156 WOODLANDS PKWY STE B
PALM HARBOR, FL
ZIP 34685
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Facility Phone Number: 727 372-6760

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1144343617

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 10D1030051
LAB Type Physician Office
Facility Name EAST LAKE PEDIATRICS
Street 4156 WOODLANDS PKWY STE B
City PALM HARBOR
State FL
ZIP 34685
Phone 727 372-6760
CertificateType 2
CertificateEffectiveDate 4/4/2024
CertificateExpirationDate 4/3/2026
FacilityType Compliance

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