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39D0862011 CLIA NUMBER - ANDORRA PEDIATRICS LLC

Laboratory Demographics

CLIA Number: 39D0862011

Facility Name: ANDORRA PEDIATRICS LLC

Facility Address:
8945 RIDGE AVENUE, SUITES 3, 4 & 5
PHILADELPHIA, PA
ZIP 19128
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Facility Phone Number: 215 483-8558

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1659326940

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 39D0862011
LAB Type Physician Office
Facility Name ANDORRA PEDIATRICS LLC
Street 8945 RIDGE AVENUE, SUITES 3, 4 & 5
City PHILADELPHIA
State PA
ZIP 19128
Phone 215 483-8558
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