26D2229588 CLIA NUMBER - JC PEDS, LLC

Laboratory Demographics

CLIA Number: 26D2229588

Facility Name: JC PEDS, LLC

Facility Address:
1705 CHRISTY DR SUITE 210
JEFFERSON CITY, MO
ZIP 65101
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Facility Phone Number: 573 606-7337

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1710568233

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	26D2229588
LAB Type	Physician Office
Facility Name	JC PEDS, LLC
Street	1705 CHRISTY DR SUITE 210
City	JEFFERSON CITY
State	MO
ZIP	65101
Phone	573 606-7337
CertificateType	4
CertificateEffectiveDate	7/14/2023
CertificateExpirationDate	7/13/2025
FacilityType	Waiver

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