36D0891014 CLIA NUMBER - PREMIER PEDIATRICS INC

Laboratory Demographics

CLIA Number: 36D0891014

Facility Name: PREMIER PEDIATRICS INC

Facility Address:
26040 DETROIT ROAD SUITE 7
WESTLAKE, OH
ZIP 44145
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Facility Phone Number: 440 871-1717

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1629194147

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	36D0891014
LAB Type	Physician Office
Facility Name	PREMIER PEDIATRICS INC
Street	26040 DETROIT ROAD SUITE 7
City	WESTLAKE
State	OH
ZIP	44145
Phone	440 871-1717
CertificateType	4
CertificateEffectiveDate	2/1/2023
CertificateExpirationDate	1/31/2025
FacilityType	Waiver

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