10D2148194 CLIA NUMBER - SANDHILL PEDIATRICS PA

Laboratory Demographics

CLIA Number: 10D2148194

Facility Name: SANDHILL PEDIATRICS PA

Facility Address:
21758 STATE ROAD 54
LUTZ, FL
ZIP 33549
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Facility Phone Number: 813 563-6070

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1902302748

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	10D2148194
LAB Type	Physician Office
Facility Name	SANDHILL PEDIATRICS PA
Street	21758 STATE ROAD 54
City	LUTZ
State	FL
ZIP	33549
Phone	813 563-6070
CertificateType	4
CertificateEffectiveDate	5/7/2024
CertificateExpirationDate	5/6/2026
FacilityType	Waiver

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