19D1025161 CLIA NUMBER - DAVULURI CHILDRENS CLINIC

Laboratory Demographics

CLIA Number: 19D1025161

Facility Name: DAVULURI CHILDRENS CLINIC

Facility Address:
1020 LEE AVENUE
HOUMA, LA
ZIP 70360
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Facility Phone Number: 985 868-7500

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1043363260

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	19D1025161
LAB Type	Physician Office
Facility Name	DAVULURI CHILDRENS CLINIC
Street	1020 LEE AVENUE
City	HOUMA
State	LA
ZIP	70360
Phone	985 868-7500
CertificateType	4
CertificateEffectiveDate	4/30/2024
CertificateExpirationDate	4/29/2026
FacilityType	Waiver

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