36D2299126 CLIA NUMBER - BE WELL PEDIATRICS

Laboratory Demographics

CLIA Number: 36D2299126

Facility Name: BE WELL PEDIATRICS

Facility Address:
1802 BAUMBERGER DRIVE
UHRICHSVILLE, OH
ZIP 44683
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Facility Phone Number: 740 229-7097

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1780457671

Taxonomy: 261QP2300X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	36D2299126
LAB Type	Physician Office
Facility Name	BE WELL PEDIATRICS
Street	1802 BAUMBERGER DRIVE
City	UHRICHSVILLE
State	OH
ZIP	44683
Phone	740 229-7097
CertificateType	4
CertificateEffectiveDate	2/14/2024
CertificateExpirationDate	2/13/2026
FacilityType	Waiver

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