39D1089387 CLIA NUMBER - CHILDRENS COMM PEDS SLIPPERY ROCK

Laboratory Demographics

CLIA Number: 39D1089387

Facility Name: CHILDRENS COMM PEDS SLIPPERY ROCK

Facility Address:
202 SPRUCE DRIVE
SLIPPERY ROCK, PA
ZIP 16057
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Facility Phone Number: 724 794-4999

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1154849461

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	39D1089387
LAB Type	Physician Office
Facility Name	CHILDRENS COMM PEDS SLIPPERY ROCK
Street	202 SPRUCE DRIVE
City	SLIPPERY ROCK
State	PA
ZIP	16057
Phone	724 794-4999
CertificateType	4
CertificateEffectiveDate	9/17/2022
CertificateExpirationDate	9/16/2024
FacilityType	Waiver

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