29D2177248 CLIA NUMBER - HEALTHY KIDS CARE AT SUNRISE

Laboratory Demographics

CLIA Number: 29D2177248

Facility Name: HEALTHY KIDS CARE AT SUNRISE

Facility Address:
3196 S MARYLAND PKWY STE 411
LAS VEGAS, NV
ZIP 89109
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Facility Phone Number: 310 561-0005

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1689212045

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	29D2177248
LAB Type	Physician Office
Facility Name	HEALTHY KIDS CARE AT SUNRISE
Street	3196 S MARYLAND PKWY STE 411
City	LAS VEGAS
State	NV
ZIP	89109
Phone	310 561-0005
CertificateType	4
CertificateEffectiveDate	1/7/2024
CertificateExpirationDate	1/6/2026
FacilityType	Waiver

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