19D2128182 CLIA NUMBER - FOREVER KID PEDIATRIC PRACTICE

Laboratory Demographics

CLIA Number: 19D2128182

Facility Name: FOREVER KID PEDIATRIC PRACTICE

Facility Address:
3321 FLORIDA AVE
KENNER, LA
ZIP 70065
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Facility Phone Number: 504 461-2224

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1821513508

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	19D2128182
LAB Type	Physician Office
Facility Name	FOREVER KID PEDIATRIC PRACTICE
Street	3321 FLORIDA AVE
City	KENNER
State	LA
ZIP	70065
Phone	504 461-2224
CertificateType	4
CertificateEffectiveDate	3/27/2023
CertificateExpirationDate	3/26/2025
FacilityType	Waiver

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