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45D2284611 CLIA NUMBER - COOK CHILDREN'S GI LUBBOCK

Laboratory Demographics

CLIA Number: 45D2284611

Facility Name: COOK CHILDREN'S GI LUBBOCK

Facility Address:
4102 24TH STREET, SUITE 401
LUBBOCK, TX
ZIP 79410
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Facility Phone Number: 806 725-5830

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1881399426

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 45D2284611
LAB Type Physician Office
Facility Name COOK CHILDREN'S GI LUBBOCK
Street 4102 24TH STREET, SUITE 401
City LUBBOCK
State TX
ZIP 79410
Phone 806 725-5830
CertificateType 4
CertificateEffectiveDate 6/27/2023
CertificateExpirationDate 6/26/2025
FacilityType Waiver

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