11D0704246 CLIA NUMBER - MEDCURA HEALTH INC

Laboratory Demographics

CLIA Number: 11D0704246

Facility Name: MEDCURA HEALTH INC

Facility Address:
4112 E PONCE DE LEON
CLARKSTON, GA
ZIP 30021
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Facility Phone Number: 404 298-8998

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1619029592

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	11D0704246
LAB Type	Physician Office
Facility Name	MEDCURA HEALTH INC
Street	4112 E PONCE DE LEON
City	CLARKSTON
State	GA
ZIP	30021
Phone	404 298-8998
CertificateType	4
CertificateEffectiveDate	3/31/2023
CertificateExpirationDate	3/30/2025
FacilityType	Waiver

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