22D1053581 CLIA NUMBER - MICHAEL D MCKENZIE MD PC

Laboratory Demographics

CLIA Number: 22D1053581

Facility Name: MICHAEL D MCKENZIE MD PC

Facility Address:
218 NORTH MAIN STREET
NATICK, MA
ZIP 01760
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Facility Phone Number: 508 647-4955

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1518999895

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 22D1053581
LAB Type Physician Office
Facility Name MICHAEL D MCKENZIE MD PC
Street 218 NORTH MAIN STREET
City NATICK
State MA
ZIP 01760
Phone 508 647-4955
CertificateType 4
CertificateEffectiveDate 4/28/2024
CertificateExpirationDate 4/27/2026
FacilityType Waiver

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