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45D2114527 CLIA NUMBER - ELIAS EZIKE, MD, PA

Laboratory Demographics

CLIA Number: 45D2114527

Facility Name: ELIAS EZIKE, MD, PA

Facility Address:
87 INTERSTATE 10 N SUITE 221
BEAUMONT, TX
ZIP 77707
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Facility Phone Number: 409 838-9944

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1811902307

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 45D2114527
LAB Type Physician Office
Facility Name ELIAS EZIKE, MD, PA
Street 87 INTERSTATE 10 N SUITE 221
City BEAUMONT
State TX
ZIP 77707
Phone 409 838-9944
CertificateType 4
CertificateEffectiveDate 6/16/2022
CertificateExpirationDate 6/15/2024
FacilityType Waiver

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