45D2014012 CLIA NUMBER - ADELAIDA RESENDEZ MD

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Laboratory Demographics

CLIA Number: 45D2014012

Facility Name: ADELAIDA RESENDEZ MD

Facility Address:
110 MEDICAL DR 103
VICTORIA, TX
ZIP 77904
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Facility Phone Number: 361 572-0033

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1174612519

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	45D2014012
LAB Type	Physician Office
Facility Name	ADELAIDA RESENDEZ MD
Street	110 MEDICAL DR 103
City	VICTORIA
State	TX
ZIP	77904
Phone	361 572-0033
CertificateType	4
CertificateEffectiveDate	9/29/2022
CertificateExpirationDate	9/28/2024
FacilityType	Waiver

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