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10D1069582 CLIA NUMBER - KIDS DOC PEDIATRICS

Laboratory Demographics

CLIA Number: 10D1069582

Facility Name: KIDS DOC PEDIATRICS

Facility Address:
6400 W NEWBERRY RD STE 109
GAINESVILLE, FL
ZIP 32605
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Facility Phone Number: 352 331-8167

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1609151315

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 10D1069582
LAB Type Physician Office
Facility Name KIDS DOC PEDIATRICS
Street 6400 W NEWBERRY RD STE 109
City GAINESVILLE
State FL
ZIP 32605
Phone 352 331-8167
CertificateType 4
CertificateEffectiveDate 6/8/2023
CertificateExpirationDate 6/7/2025
FacilityType Waiver

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