23D2019263 CLIA NUMBER - OAK TREE PEDIATRICS PC

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Laboratory Demographics

CLIA Number: 23D2019263

Facility Name: OAK TREE PEDIATRICS PC

Facility Address:
401 E GRAND RIVER
BRIGHTON, MI
ZIP 48116
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Facility Phone Number: 810 225-7334

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1104121615

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	23D2019263
LAB Type	Physician Office
Facility Name	OAK TREE PEDIATRICS PC
Street	401 E GRAND RIVER
City	BRIGHTON
State	MI
ZIP	48116
Phone	810 225-7334
CertificateType	4
CertificateEffectiveDate	1/26/2023
CertificateExpirationDate	1/25/2025
FacilityType	Waiver

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