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32D0536704 CLIA NUMBER - LOS ALAMOS PEDIATRIC CLINIC, PC

Laboratory Demographics

CLIA Number: 32D0536704

Facility Name: LOS ALAMOS PEDIATRIC CLINIC, PC

Facility Address:
3917 WEST ROAD STE 136
LOS ALAMOS, NM
ZIP 87544
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Facility Phone Number: 505 662-9620

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1245248830

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 32D0536704
LAB Type Physician Office
Facility Name LOS ALAMOS PEDIATRIC CLINIC, PC
Street 3917 WEST ROAD STE 136
City LOS ALAMOS
State NM
ZIP 87544
Phone 505 662-9620
CertificateType 4
CertificateEffectiveDate 12/20/2022
CertificateExpirationDate 12/19/2024
FacilityType Waiver

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