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11D0871024 CLIA NUMBER - DUSHYANT J PATEL MD

Laboratory Demographics

CLIA Number: 11D0871024

Facility Name: DUSHYANT J PATEL MD

Facility Address:
1020 WEST BRYAN STREET PO BOX 1949
DOUGLAS, GA
ZIP 31533
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Facility Phone Number: 912 384-2469

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1609869114

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 11D0871024
LAB Type Physician Office
Facility Name DUSHYANT J PATEL MD
Street 1020 WEST BRYAN STREET PO BOX 1949
City DOUGLAS
State GA
ZIP 31533
Phone 912 384-2469
CertificateType 4
CertificateEffectiveDate 9/1/2022
CertificateExpirationDate 8/31/2024
FacilityType Waiver

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