38D2184211 CLIA NUMBER - MID-VALLEY CHILDREN'S CLINIC ANNEX

Laboratory Demographics

CLIA Number: 38D2184211

Facility Name: MID-VALLEY CHILDREN'S CLINIC ANNEX

Facility Address:
1100 7TH AVE SW
ALBANY, OR
ZIP 97321
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Facility Phone Number: 541 812-5111

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1932465192

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	38D2184211
LAB Type	Physician Office
Facility Name	MID-VALLEY CHILDREN'S CLINIC ANNEX
Street	1100 7TH AVE SW
City	ALBANY
State	OR
ZIP	97321
Phone	541 812-5111
CertificateType	4
CertificateEffectiveDate	5/15/2024
CertificateExpirationDate	5/14/2026
FacilityType	Waiver

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