16D0997905 CLIA NUMBER - WAGGONER PEDIATRICS OF CENTRAL IOWA

Laboratory Demographics

CLIA Number: 16D0997905

Facility Name: WAGGONER PEDIATRICS OF CENTRAL IOWA

Facility Address:
2555 BERKSHIRE PARKWAY SUITE A
CLIVE, IA
ZIP 50325
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Facility Phone Number: 515 987-0051

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1225572548

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 16D0997905
LAB Type Physician Office
Facility Name WAGGONER PEDIATRICS OF CENTRAL IOWA
Street 2555 BERKSHIRE PARKWAY SUITE A
City CLIVE
State IA
ZIP 50325
Phone 515 987-0051
CertificateType 2
CertificateEffectiveDate 10/9/2022
CertificateExpirationDate 10/8/2024
FacilityType Compliance

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