10D1071295 CLIA NUMBER - STAGES PEDIATRIC CARE

Laboratory Demographics

CLIA Number: 10D1071295

Facility Name: STAGES PEDIATRIC CARE

Facility Address:
947 TOWN CENTER DR
ORANGE CITY, FL
ZIP 32763
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Facility Phone Number: 386 917-0075

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1477881829

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	10D1071295
LAB Type	Physician Office
Facility Name	STAGES PEDIATRIC CARE
Street	947 TOWN CENTER DR
City	ORANGE CITY
State	FL
ZIP	32763
Phone	386 917-0075
CertificateType	4
CertificateEffectiveDate	7/23/2023
CertificateExpirationDate	7/22/2025
FacilityType	Waiver

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