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22D0894654 CLIA NUMBER - LONG POND PEDIATRICS & OSTEOPATHY PC

Laboratory Demographics

CLIA Number: 22D0894654

Facility Name: LONG POND PEDIATRICS & OSTEOPATHY PC

Facility Address:
110 LONG POND ROAD SUITE 211
PLYMOUTH, MA
ZIP 02360
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Facility Phone Number: 508 747-1663

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1639204191

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 22D0894654
LAB Type Physician Office
Facility Name LONG POND PEDIATRICS & OSTEOPATHY PC
Street 110 LONG POND ROAD SUITE 211
City PLYMOUTH
State MA
ZIP 02360
Phone 508 747-1663
CertificateType 4
CertificateEffectiveDate 9/17/2023
CertificateExpirationDate 9/16/2025
FacilityType Waiver

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