45D1046447 CLIA NUMBER - SPRING CREEK PEDIATRIC CENTER

Laboratory Demographics

CLIA Number: 45D1046447

Facility Name: SPRING CREEK PEDIATRIC CENTER

Facility Address:
106 SPRINGWOOD DRIVE STE 100
VICTORIA, TX
ZIP 77904
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Facility Phone Number: 361 572-9400

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1184809352

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	45D1046447
LAB Type	Physician Office
Facility Name	SPRING CREEK PEDIATRIC CENTER
Street	106 SPRINGWOOD DRIVE STE 100
City	VICTORIA
State	TX
ZIP	77904
Phone	361 572-9400
CertificateType	4
CertificateEffectiveDate	10/10/2023
CertificateExpirationDate	10/9/2025
FacilityType	Waiver

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