26D0685556 CLIA NUMBER - KIDZ BIZ PEDIATRICS

Laboratory Demographics

CLIA Number: 26D0685556

Facility Name: KIDZ BIZ PEDIATRICS

Facility Address:
35 GOODWIN DRIVE
FESTUS, MO
ZIP 63028
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Facility Phone Number: 636 933-4141

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1487857033

Taxonomy: 2080A0000X - Pediatrics
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

CLIA Record

Field Name Field Value
CLIA Number 26D0685556
LAB Type Physician Office
Facility Name KIDZ BIZ PEDIATRICS
Street 35 GOODWIN DRIVE
City FESTUS
State MO
ZIP 63028
Phone 636 933-4141
CertificateType 4
CertificateEffectiveDate 8/30/2022
CertificateExpirationDate 8/29/2024
FacilityType Waiver

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