10D1094555 CLIA NUMBER - PEDIATRIC ASSOCIATES

Laboratory Demographics

CLIA Number: 10D1094555

Facility Name: PEDIATRIC ASSOCIATES

Facility Address:
555 NW LAKE WHITNEY PL STE 102
PORT SAINT LUCIE, FL
ZIP 34986
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Facility Phone Number: 954 965-7754

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1730326166

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	10D1094555
LAB Type	Physician Office
Facility Name	PEDIATRIC ASSOCIATES
Street	555 NW LAKE WHITNEY PL STE 102
City	PORT SAINT LUCIE
State	FL
ZIP	34986
Phone	954 965-7754
CertificateType	4
CertificateEffectiveDate	5/30/2023
CertificateExpirationDate	5/29/2025
FacilityType	Waiver

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