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45D1077817 CLIA NUMBER - PM PEDIATRICS

Laboratory Demographics

CLIA Number: 45D1077817

Facility Name: PM PEDIATRICS

Facility Address:
860 HEBRON PRWY, # 202
LEWISVILLE, TX
ZIP 75057
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Facility Phone Number: 972 315-3705

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1487835484

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 45D1077817
LAB Type Physician Office
Facility Name PM PEDIATRICS
Street 860 HEBRON PRWY, # 202
City LEWISVILLE
State TX
ZIP 75057
Phone 972 315-3705
CertificateType 4
CertificateEffectiveDate 12/19/2023
CertificateExpirationDate 12/18/2025
FacilityType Waiver

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