38D1095157 CLIA NUMBER - KIDS CENTER

Laboratory Demographics

CLIA Number: 38D1095157

Facility Name: KIDS CENTER

Facility Address:
1375 NW KINGSTON AVE
BEND, OR
ZIP 97703
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Facility Phone Number: 541 383-5958

Facility Type: Other - CHILD ABUSE EVALUATION CE

Certificate Type: Waiver

NPI Number: 1790838324

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	38D1095157
LAB Type	Other - CHILD ABUSE EVALUATION CE
Facility Name	KIDS CENTER
Street	1375 NW KINGSTON AVE
City	BEND
State	OR
ZIP	97703
Phone	541 383-5958
CertificateType	4
CertificateEffectiveDate	2/3/2023
CertificateExpirationDate	2/2/2025
FacilityType	Waiver

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