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45D2188373 CLIA NUMBER - LEGACY COMMUNITY HEALTH-BEAUMONT NORTH ST

Laboratory Demographics

CLIA Number: 45D2188373

Facility Name: LEGACY COMMUNITY HEALTH-BEAUMONT NORTH ST

Facility Address:
3030 NORTH ST STE 500
BEAUMONT, TX
ZIP 77702
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Facility Phone Number: 409 333-1377

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1538149869

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 45D2188373
LAB Type Physician Office
Facility Name LEGACY COMMUNITY HEALTH-BEAUMONT NORTH ST
Street 3030 NORTH ST STE 500
City BEAUMONT
State TX
ZIP 77702
Phone 409 333-1377
CertificateType 4
CertificateEffectiveDate 7/16/2022
CertificateExpirationDate 7/15/2024
FacilityType Waiver

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