49D1051766 CLIA NUMBER - CHANCELLOR PEDIATRICS, PC

Laboratory Demographics

CLIA Number: 49D1051766

Facility Name: CHANCELLOR PEDIATRICS, PC

Facility Address:
12004 KILARNEY DRIVE
FREDERICKSBURG, VA
ZIP 22407
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Facility Phone Number: 540 548-4510

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1649215948

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	49D1051766
LAB Type	Physician Office
Facility Name	CHANCELLOR PEDIATRICS, PC
Street	12004 KILARNEY DRIVE
City	FREDERICKSBURG
State	VA
ZIP	22407
Phone	540 548-4510
CertificateType	4
CertificateEffectiveDate	3/9/2024
CertificateExpirationDate	3/8/2026
FacilityType	Waiver

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