45D2266786 CLIA NUMBER - DELL CHILDREN'S MEDICAL GROUP DAVIS LANE

Laboratory Demographics

CLIA Number: 45D2266786

Facility Name: DELL CHILDREN'S MEDICAL GROUP DAVIS LANE

Facility Address:
5301-B DAVIS LANE
AUSTIN, TX
ZIP 78749
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Facility Phone Number: 512 628-1800

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1790103869

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 45D2266786
LAB Type Physician Office
Facility Name DELL CHILDREN'S MEDICAL GROUP DAVIS LANE
Street 5301-B DAVIS LANE
City AUSTIN
State TX
ZIP 78749
Phone 512 628-1800
CertificateType 4
CertificateEffectiveDate 8/16/2022
CertificateExpirationDate 8/15/2024
FacilityType Waiver

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