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31D0121024 CLIA NUMBER - PEDIATRIC ASSOCIATICS

Laboratory Demographics

CLIA Number: 31D0121024

Facility Name: PEDIATRIC ASSOCIATICS

Facility Address:
1318 SOUTH MAIN ROAD
VINELAND, NJ
ZIP 08360
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Facility Phone Number: 609 691-8585

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1790868503

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 31D0121024
LAB Type Physician Office
Facility Name PEDIATRIC ASSOCIATICS
Street 1318 SOUTH MAIN ROAD
City VINELAND
State NJ
ZIP 08360
Phone 609 691-8585
CertificateType 4
CertificateEffectiveDate 11/15/2022
CertificateExpirationDate 11/14/2024
FacilityType Waiver

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