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11D1035620 CLIA NUMBER - COLUMBUS CHILDRENS CLINIC, LLC

Laboratory Demographics

CLIA Number: 11D1035620

Facility Name: COLUMBUS CHILDRENS CLINIC, LLC

Facility Address:
1546 10TH AVE STE A
COLUMBUS, GA
ZIP 31901
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Facility Phone Number: 706 322-5526

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1619430410

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 11D1035620
LAB Type Physician Office
Facility Name COLUMBUS CHILDRENS CLINIC, LLC
Street 1546 10TH AVE STE A
City COLUMBUS
State GA
ZIP 31901
Phone 706 322-5526
CertificateType 4
CertificateEffectiveDate 1/6/2023
CertificateExpirationDate 1/5/2025
FacilityType Waiver

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