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45D1060381 CLIA NUMBER - PEDIATRIC CLINIC OF MESQUITE

Laboratory Demographics

CLIA Number: 45D1060381

Facility Name: PEDIATRIC CLINIC OF MESQUITE

Facility Address:
3230 IH 30,SUITE 100
MESQUITE, TX
ZIP 75150
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Facility Phone Number: 972 682-1791

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1417177841

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 45D1060381
LAB Type Physician Office
Facility Name PEDIATRIC CLINIC OF MESQUITE
Street 3230 IH 30,SUITE 100
City MESQUITE
State TX
ZIP 75150
Phone 972 682-1791
CertificateType 4
CertificateEffectiveDate 4/1/2023
CertificateExpirationDate 3/31/2025
FacilityType Waiver

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