39D0657938 CLIA NUMBER - PEDIATRIC ASSOCIATES OF PLYMOUTH INC

Laboratory Demographics

CLIA Number: 39D0657938

Facility Name: PEDIATRIC ASSOCIATES OF PLYMOUTH INC

Facility Address:
3031 WALTON RD BLDG C STE 101 WALTON CAMPUS
PLYMOUTH MEETING, PA
ZIP 19462
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Facility Phone Number: 215 825-3500

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1477590263

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	39D0657938
LAB Type	Physician Office
Facility Name	PEDIATRIC ASSOCIATES OF PLYMOUTH INC
Street	3031 WALTON RD BLDG C STE 101 WALTON CAMPUS
City	PLYMOUTH MEETING
State	PA
ZIP	19462
Phone	215 825-3500
CertificateType	4
CertificateEffectiveDate	12/17/2022
CertificateExpirationDate	12/16/2024
FacilityType	Waiver

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