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10D1046452 CLIA NUMBER - PEDIATRIC SPECIALISTS

Laboratory Demographics

CLIA Number: 10D1046452

Facility Name: PEDIATRIC SPECIALISTS

Facility Address:
15901 BASS RD, STE 102
FORT MYERS, FL
ZIP 33908
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Facility Phone Number: 239 343-9905

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1871864215

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 10D1046452
LAB Type Physician Office
Facility Name PEDIATRIC SPECIALISTS
Street 15901 BASS RD, STE 102
City FORT MYERS
State FL
ZIP 33908
Phone 239 343-9905
CertificateType 4
CertificateEffectiveDate 10/10/2023
CertificateExpirationDate 10/9/2025
FacilityType Waiver

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