45D1050419 CLIA NUMBER - THROUGH THE YEARS PEDIATRICS

Laboratory Demographics

CLIA Number: 45D1050419

Facility Name: THROUGH THE YEARS PEDIATRICS

Facility Address:
15316 HUEBNER ROAD BLDG 1 SUITE 102
SAN ANTONIO, TX
ZIP 78248
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Facility Phone Number: 210 479-9292

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1073795969

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	45D1050419
LAB Type	Physician Office
Facility Name	THROUGH THE YEARS PEDIATRICS
Street	15316 HUEBNER ROAD BLDG 1 SUITE 102
City	SAN ANTONIO
State	TX
ZIP	78248
Phone	210 479-9292
CertificateType	4
CertificateEffectiveDate	2/2/2024
CertificateExpirationDate	2/1/2026
FacilityType	Waiver

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