13D2171440 CLIA NUMBER - FRONTIER PEDIATRIC PARTNERS PLLC

Laboratory Demographics

CLIA Number: 13D2171440

Facility Name: FRONTIER PEDIATRIC PARTNERS PLLC

Facility Address:
1502 LOCUST ST N STE 700
TWIN FALLS, ID
ZIP 83301
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Facility Phone Number: 208 595-5095

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1780146316

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	13D2171440
LAB Type	Physician Office
Facility Name	FRONTIER PEDIATRIC PARTNERS PLLC
Street	1502 LOCUST ST N STE 700
City	TWIN FALLS
State	ID
ZIP	83301
Phone	208 595-5095
CertificateType	3
CertificateEffectiveDate	8/30/2023
CertificateExpirationDate	8/29/2025
FacilityType	PPMP

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