34D1027694 CLIA NUMBER - LAKESHORE PEDIATRIC CENTER

Laboratory Demographics

CLIA Number: 34D1027694

Facility Name: LAKESHORE PEDIATRIC CENTER

Facility Address:
635 N HIGHWAY 16
DENVER, NC
ZIP 28037
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Facility Phone Number: 704 489-8401

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1366650707

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	34D1027694
LAB Type	Physician Office
Facility Name	LAKESHORE PEDIATRIC CENTER
Street	635 N HIGHWAY 16
City	DENVER
State	NC
ZIP	28037
Phone	704 489-8401
CertificateType	4
CertificateEffectiveDate	7/7/2022
CertificateExpirationDate	7/6/2024
FacilityType	Waiver

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