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37D2125390 CLIA NUMBER - CRYSTAL SPARLING-SCISSORTAIL PEDIATRICS

Laboratory Demographics

CLIA Number: 37D2125390

Facility Name: CRYSTAL SPARLING-SCISSORTAIL PEDIATRICS

Facility Address:
865 E VETERAN'S MEMORIAL HIGHWAY
BLANCHARD, OK
ZIP 73010
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Facility Phone Number: 405 342-0388

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1902002025

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 37D2125390
LAB Type Physician Office
Facility Name CRYSTAL SPARLING-SCISSORTAIL PEDIATRICS
Street 865 E VETERAN'S MEMORIAL HIGHWAY
City BLANCHARD
State OK
ZIP 73010
Phone 405 342-0388
CertificateType 4
CertificateEffectiveDate 2/7/2023
CertificateExpirationDate 2/6/2025
FacilityType Waiver

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