33D2020519 CLIA NUMBER - KHAIMOV PEDIATRICS PLLC

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Laboratory Demographics

CLIA Number: 33D2020519

Facility Name: KHAIMOV PEDIATRICS PLLC

Facility Address:
64-05 YELLOWSTONE BOULEVARD
FOREST HILLS, NY
ZIP 11375
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Facility Phone Number: 718 606-2700

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1447508064

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	33D2020519
LAB Type	Physician Office
Facility Name	KHAIMOV PEDIATRICS PLLC
Street	64-05 YELLOWSTONE BOULEVARD
City	FOREST HILLS
State	NY
ZIP	11375
Phone	718 606-2700
CertificateType	4
CertificateEffectiveDate	2/22/2023
CertificateExpirationDate	2/21/2025
FacilityType	Waiver

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