39D0963733 CLIA NUMBER - CHILDRENS COMMUNITY PEDIATRICS GROVE CITY

Laboratory Demographics

CLIA Number: 39D0963733

Facility Name: CHILDRENS COMMUNITY PEDIATRICS GROVE CITY

Facility Address:
1424 WEST MAIN ST, SUITE 3
GROVE CITY, PA
ZIP 16127
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Facility Phone Number: 724 458-5872

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1619495926

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 39D0963733
LAB Type Physician Office
Facility Name CHILDRENS COMMUNITY PEDIATRICS GROVE CITY
Street 1424 WEST MAIN ST, SUITE 3
City GROVE CITY
State PA
ZIP 16127
Phone 724 458-5872
CertificateType 4
CertificateEffectiveDate 8/9/2023
CertificateExpirationDate 8/8/2025
FacilityType Waiver

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