49D0227482 CLIA NUMBER - PEDIATRIC CENTER ONE COLONIAL PLACE

Laboratory Demographics

CLIA Number: 49D0227482

Facility Name: PEDIATRIC CENTER ONE COLONIAL PLACE

Facility Address:
10571 TELEGRAPH ROAD - SUITE 110
GLEN ALLEN, VA
ZIP 23059
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Facility Phone Number: 804 266-9616

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1942630397

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	49D0227482
LAB Type	Physician Office
Facility Name	PEDIATRIC CENTER ONE COLONIAL PLACE
Street	10571 TELEGRAPH ROAD - SUITE 110
City	GLEN ALLEN
State	VA
ZIP	23059
Phone	804 266-9616
CertificateType	2
CertificateEffectiveDate	3/23/2023
CertificateExpirationDate	3/22/2025
FacilityType	Compliance

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