10D2301996 CLIA NUMBER - PENN PEDIATRICS LLC

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Laboratory Demographics

CLIA Number: 10D2301996

Facility Name: PENN PEDIATRICS LLC

Facility Address:
260 SW NATURA AVE, STE 102
DEERFIELD BEACH, FL
ZIP 33441
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Facility Phone Number: 954 505-8524

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1568239861

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	10D2301996
LAB Type	Physician Office
Facility Name	PENN PEDIATRICS LLC
Street	260 SW NATURA AVE, STE 102
City	DEERFIELD BEACH
State	FL
ZIP	33441
Phone	954 505-8524
CertificateType	4
CertificateEffectiveDate	4/3/2024
CertificateExpirationDate	4/2/2026
FacilityType	Waiver

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