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36D0343280 CLIA NUMBER - MARGARET B SHIPLEY CHILD HEALTH CLINIC

Laboratory Demographics

CLIA Number: 36D0343280

Facility Name: MARGARET B SHIPLEY CHILD HEALTH CLINIC

Facility Address:
919 2ND STREET NE
CANTON, OH
ZIP 44704
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Facility Phone Number: 330 453-3386

Facility Type: Community Clinic

Certificate Type: Waiver
NPI Number: 1215021126

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 36D0343280
LAB Type Community Clinic
Facility Name MARGARET B SHIPLEY CHILD HEALTH CLINIC
Street 919 2ND STREET NE
City CANTON
State OH
ZIP 44704
Phone 330 453-3386
CertificateType 4
CertificateEffectiveDate 12/23/2023
CertificateExpirationDate 12/22/2025
FacilityType Waiver

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