18D0322400 CLIA NUMBER - CHILDREN'S CLINIC

Laboratory Demographics

CLIA Number: 18D0322400

Facility Name: CHILDREN'S CLINIC

Facility Address:
223 RIVER DRIVE
IRVINE, KY
ZIP 40336
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Facility Phone Number: 606 723-5142

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1740381441

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	18D0322400
LAB Type	Community Clinic
Facility Name	CHILDREN'S CLINIC
Street	223 RIVER DRIVE
City	IRVINE
State	KY
ZIP	40336
Phone	606 723-5142
CertificateType	4
CertificateEffectiveDate	7/5/2022
CertificateExpirationDate	7/4/2024
FacilityType	Waiver

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