44D0316153 CLIA NUMBER - PUTNAM COUNTY PEDIATRICS, PLLC DBA KIDS KARE PEDIATRICS

Laboratory Demographics

CLIA Number: 44D0316153

Facility Name: PUTNAM COUNTY PEDIATRICS, PLLC DBA KIDS KARE PEDIATRICS

Facility Address:
758 SOUTH WILLOW AVENUE
COOKEVILLE, TN
ZIP 38501
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Facility Phone Number: 931 526-6173

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1215054754

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	44D0316153
LAB Type	Physician Office
Facility Name	PUTNAM COUNTY PEDIATRICS, PLLC DBA KIDS KARE PEDIATRICS
Street	758 SOUTH WILLOW AVENUE
City	COOKEVILLE
State	TN
ZIP	38501
Phone	931 526-6173
CertificateType	4
CertificateEffectiveDate	1/24/2023
CertificateExpirationDate	1/23/2025
FacilityType	Waiver

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