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27D1069355 CLIA NUMBER - PREMIER CARE PEDIATRICS

Laboratory Demographics

CLIA Number: 27D1069355

Facility Name: PREMIER CARE PEDIATRICS

Facility Address:
926 13TH AVE S
GREAT FALLS, MT
ZIP 59405
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Facility Phone Number: 406 770-3000

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1215361761

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 27D1069355
LAB Type Physician Office
Facility Name PREMIER CARE PEDIATRICS
Street 926 13TH AVE S
City GREAT FALLS
State MT
ZIP 59405
Phone 406 770-3000
CertificateType 4
CertificateEffectiveDate 6/4/2023
CertificateExpirationDate 6/3/2025
FacilityType Waiver

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