37D0474019 CLIA NUMBER - YOUNG PEOPLE'S CLINIC

Laboratory Demographics

CLIA Number: 37D0474019

Facility Name: YOUNG PEOPLE'S CLINIC

Facility Address:
715 W MAIN ST, STE S
JENKS, OK
ZIP 74037
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Facility Phone Number: 918 745-0501

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1295929024

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	37D0474019
LAB Type	Physician Office
Facility Name	YOUNG PEOPLE'S CLINIC
Street	715 W MAIN ST, STE S
City	JENKS
State	OK
ZIP	74037
Phone	918 745-0501
CertificateType	4
CertificateEffectiveDate	4/29/2024
CertificateExpirationDate	4/28/2026
FacilityType	Waiver

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