38D2104557 CLIA NUMBER - ERIKA BEARD-IRVINE MD LLC

Laboratory Demographics

CLIA Number: 38D2104557

Facility Name: ERIKA BEARD-IRVINE MD LLC

Facility Address:
403 NE REVERE AVE
BEND, OR
ZIP 97701
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Facility Phone Number: 541 241-6371

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1093795882

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	38D2104557
LAB Type	Physician Office
Facility Name	ERIKA BEARD-IRVINE MD LLC
Street	403 NE REVERE AVE
City	BEND
State	OR
ZIP	97701
Phone	541 241-6371
CertificateType	4
CertificateEffectiveDate	11/6/2023
CertificateExpirationDate	11/5/2025
FacilityType	Waiver

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