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23D1012781 CLIA NUMBER - FAWAZ HADDAD, MD

Laboratory Demographics

CLIA Number: 23D1012781

Facility Name: FAWAZ HADDAD, MD

Facility Address:
8273 S SAGINAW ST STE C
GRAND BLANC, MI
ZIP 48439
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Facility Phone Number: 810 695-6565

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1194819029

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 23D1012781
LAB Type Physician Office
Facility Name FAWAZ HADDAD, MD
Street 8273 S SAGINAW ST STE C
City GRAND BLANC
State MI
ZIP 48439
Phone 810 695-6565
CertificateType 4
CertificateEffectiveDate 5/21/2023
CertificateExpirationDate 5/20/2025
FacilityType Waiver

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