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45D2167434 CLIA NUMBER - GLOWWORM PEDIATRICS

Laboratory Demographics

CLIA Number: 45D2167434

Facility Name: GLOWWORM PEDIATRICS

Facility Address:
2100 MUIRFIELD BEND DR. #115
HUTTO, TX
ZIP 78634
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Facility Phone Number: 512 861-9327

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1285299461

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 45D2167434
LAB Type Physician Office
Facility Name GLOWWORM PEDIATRICS
Street 2100 MUIRFIELD BEND DR. #115
City HUTTO
State TX
ZIP 78634
Phone 512 861-9327
CertificateType 4
CertificateEffectiveDate 6/7/2023
CertificateExpirationDate 6/6/2025
FacilityType Waiver

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