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17D1024703 CLIA NUMBER - COTTONWOOD PEDIATRICS

Laboratory Demographics

CLIA Number: 17D1024703

Facility Name: COTTONWOOD PEDIATRICS

Facility Address:
700 MEDICAL CENTER DR SUITE 150
NEWTON, KS
ZIP 67114
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Facility Phone Number: 316 283-7100

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1407859119

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 17D1024703
LAB Type Physician Office
Facility Name COTTONWOOD PEDIATRICS
Street 700 MEDICAL CENTER DR SUITE 150
City NEWTON
State KS
ZIP 67114
Phone 316 283-7100
CertificateType 4
CertificateEffectiveDate 4/20/2024
CertificateExpirationDate 4/19/2026
FacilityType Waiver

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