13D2281593 CLIA NUMBER - TREASURE VALLEY CHILDREN'S CLINIC

Laboratory Demographics

CLIA Number: 13D2281593

Facility Name: TREASURE VALLEY CHILDREN'S CLINIC

Facility Address:
2921 S MERIDIAN RD
MERIDIAN, ID
ZIP 83642
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Facility Phone Number: 208 297-7847

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1366142127

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	13D2281593
LAB Type	Physician Office
Facility Name	TREASURE VALLEY CHILDREN'S CLINIC
Street	2921 S MERIDIAN RD
City	MERIDIAN
State	ID
ZIP	83642
Phone	208 297-7847
CertificateType	4
CertificateEffectiveDate	5/9/2023
CertificateExpirationDate	5/8/2025
FacilityType	Waiver

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