45D2206557 CLIA NUMBER - ARBOR PEDIATRICS

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Laboratory Demographics

CLIA Number: 45D2206557

Facility Name: ARBOR PEDIATRICS

Facility Address:
1130 N KIMBALL AVE SUITE 100
SOUTHLAKE, TX
ZIP 76092
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Facility Phone Number: 817 685-3564

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1518508894

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	45D2206557
LAB Type	Physician Office
Facility Name	ARBOR PEDIATRICS
Street	1130 N KIMBALL AVE SUITE 100
City	SOUTHLAKE
State	TX
ZIP	76092
Phone	817 685-3564
CertificateType	4
CertificateEffectiveDate	12/21/2022
CertificateExpirationDate	12/20/2024
FacilityType	Waiver

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