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39D1040075 CLIA NUMBER - CHILDRENS COMMUNITY PEDIATRICS ERIE

Laboratory Demographics

CLIA Number: 39D1040075

Facility Name: CHILDRENS COMMUNITY PEDIATRICS ERIE

Facility Address:
3580 PEACH ST SUITE 100
ERIE, PA
ZIP 16508
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Facility Phone Number: 814 868-9633

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1053329474

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 39D1040075
LAB Type Physician Office
Facility Name CHILDRENS COMMUNITY PEDIATRICS ERIE
Street 3580 PEACH ST SUITE 100
City ERIE
State PA
ZIP 16508
Phone 814 868-9633
CertificateType 4
CertificateEffectiveDate 4/29/2023
CertificateExpirationDate 4/28/2025
FacilityType Waiver

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