11D1105879 CLIA NUMBER - PEDIATRIC ACUTE CARE OF COLUMBUS

Laboratory Demographics

CLIA Number: 11D1105879

Facility Name: PEDIATRIC ACUTE CARE OF COLUMBUS

Facility Address:
5555 WHITTLESEY BOULEVARD, SUITE L-1
COLUMBUS, GA
ZIP 31909
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Facility Phone Number: 706 507-5577

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1295967602

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	11D1105879
LAB Type	Physician Office
Facility Name	PEDIATRIC ACUTE CARE OF COLUMBUS
Street	5555 WHITTLESEY BOULEVARD, SUITE L-1
City	COLUMBUS
State	GA
ZIP	31909
Phone	706 507-5577
CertificateType	4
CertificateEffectiveDate	9/30/2023
CertificateExpirationDate	9/29/2025
FacilityType	Waiver

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