37D2272867 CLIA NUMBER - MARANATHA PEDIATRICS

Laboratory Demographics

CLIA Number: 37D2272867

Facility Name: MARANATHA PEDIATRICS

Facility Address:
341 S 28TH ST
CLINTON, OK
ZIP 73601
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Facility Phone Number: 580 323-8747

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1609584978

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	37D2272867
LAB Type	Physician Office
Facility Name	MARANATHA PEDIATRICS
Street	341 S 28TH ST
City	CLINTON
State	OK
ZIP	73601
Phone	580 323-8747
CertificateType	4
CertificateEffectiveDate	12/1/2022
CertificateExpirationDate	11/30/2024
FacilityType	Waiver

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