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39D0977428 CLIA NUMBER - ADVOCARE ARDMORE CHESTNUT PEDS

Laboratory Demographics

CLIA Number: 39D0977428

Facility Name: ADVOCARE ARDMORE CHESTNUT PEDS

Facility Address:
100 CHURCH ROAD, SUITE 300
ARDMORE, PA
ZIP 19003
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Facility Phone Number: 610 896-8582

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1235206921

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 39D0977428
LAB Type Physician Office
Facility Name ADVOCARE ARDMORE CHESTNUT PEDS
Street 100 CHURCH ROAD, SUITE 300
City ARDMORE
State PA
ZIP 19003
Phone 610 896-8582
CertificateType 4
CertificateEffectiveDate 8/27/2022
CertificateExpirationDate 8/26/2024
FacilityType Waiver

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