39D0200903 CLIA NUMBER - ALLEGHENY AVENUE PEDIATRIC CTR

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Laboratory Demographics

CLIA Number: 39D0200903

Facility Name: ALLEGHENY AVENUE PEDIATRIC CTR

Facility Address:
2623 E ALLEGHENY AVE
PHILADELPHIA, PA
ZIP 19134
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Facility Phone Number: 215 423-2030

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1770539678

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	39D0200903
LAB Type	Physician Office
Facility Name	ALLEGHENY AVENUE PEDIATRIC CTR
Street	2623 E ALLEGHENY AVE
City	PHILADELPHIA
State	PA
ZIP	19134
Phone	215 423-2030
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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