34D0246260 CLIA NUMBER - COASTAL CHILDREN'S CLINIC

Laboratory Demographics

CLIA Number: 34D0246260

Facility Name: COASTAL CHILDREN'S CLINIC

Facility Address:
218 STONEBRIDGE SQUARE
HAVELOCK, NC
ZIP 28532
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Facility Phone Number: 252 447-8100

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1962665653

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	34D0246260
LAB Type	Physician Office
Facility Name	COASTAL CHILDREN'S CLINIC
Street	218 STONEBRIDGE SQUARE
City	HAVELOCK
State	NC
ZIP	28532
Phone	252 447-8100
CertificateType	2
CertificateEffectiveDate	4/21/2022
CertificateExpirationDate	4/30/2024
FacilityType	Compliance

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