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47D0091266 CLIA NUMBER - PEDIATRIC MEDICINE PLC

Laboratory Demographics

CLIA Number: 47D0091266

Facility Name: PEDIATRIC MEDICINE PLC

Facility Address:
52 TIMBER LN
SOUTH BURLINGTON, VT
ZIP 05403
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Facility Phone Number: 802 658-2320

Facility Type: Physician Office

Certificate Type: Certificate of Compliance
NPI Number: 1487701140

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 47D0091266
LAB Type Physician Office
Facility Name PEDIATRIC MEDICINE PLC
Street 52 TIMBER LN
City SOUTH BURLINGTON
State VT
ZIP 05403
Phone 802 658-2320
CertificateType 2
CertificateEffectiveDate 11/15/2022
CertificateExpirationDate 11/14/2024
FacilityType Compliance

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