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33D0692142 CLIA NUMBER - WANTAGH PEDIATRIC, PLLC

Laboratory Demographics

CLIA Number: 33D0692142

Facility Name: WANTAGH PEDIATRIC, PLLC

Facility Address:
2415 JERUSALEM AVENUE, SUITE 204
NORTH BELLMORE, NY
ZIP 11710
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Facility Phone Number: 516 221-5151

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1437227865

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 33D0692142
LAB Type Physician Office
Facility Name WANTAGH PEDIATRIC, PLLC
Street 2415 JERUSALEM AVENUE, SUITE 204
City NORTH BELLMORE
State NY
ZIP 11710
Phone 516 221-5151
CertificateType 2
CertificateEffectiveDate 4/7/2021
CertificateExpirationDate 4/30/2024
FacilityType Compliance

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