31D0118059 CLIA NUMBER - DEVINENI PRASAD MD

Laboratory Demographics

CLIA Number: 31D0118059

Facility Name: DEVINENI PRASAD MD

Facility Address:
777 WHITE HORSE PIKE
HAMMONTON, NJ
ZIP 08037
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Facility Phone Number: 609 567-0608

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1154585545

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	31D0118059
LAB Type	Physician Office
Facility Name	DEVINENI PRASAD MD
Street	777 WHITE HORSE PIKE
City	HAMMONTON
State	NJ
ZIP	08037
Phone	609 567-0608
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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