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39D0667514 CLIA NUMBER - GORDON KLINOW PEDIATRIC ASSOCIATES

Laboratory Demographics

CLIA Number: 39D0667514

Facility Name: GORDON KLINOW PEDIATRIC ASSOCIATES

Facility Address:
919 CONESTOGA ROAD BUILDING 3 SUITE 111
ROSEMONT, PA
ZIP 19010
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Facility Phone Number: 610 687-3600

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1013946664

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 39D0667514
LAB Type Physician Office
Facility Name GORDON KLINOW PEDIATRIC ASSOCIATES
Street 919 CONESTOGA ROAD BUILDING 3 SUITE 111
City ROSEMONT
State PA
ZIP 19010
Phone 610 687-3600
CertificateType 4
CertificateEffectiveDate 5/14/2024
CertificateExpirationDate 5/13/2026
FacilityType Waiver

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