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33D2068101 CLIA NUMBER - LYDIG PEDIATRICS PC

Laboratory Demographics

CLIA Number: 33D2068101

Facility Name: LYDIG PEDIATRICS PC

Facility Address:
627 LYDIG AVENUE, 1ST FLOOR
BRONX, NY
ZIP 10462
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Facility Phone Number: 718 772-0070

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1861732547

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 33D2068101
LAB Type Physician Office
Facility Name LYDIG PEDIATRICS PC
Street 627 LYDIG AVENUE, 1ST FLOOR
City BRONX
State NY
ZIP 10462
Phone 718 772-0070
CertificateType 4
CertificateEffectiveDate 10/28/2023
CertificateExpirationDate 10/27/2025
FacilityType Waiver

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