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49D2125714 CLIA NUMBER - KINDER LIFE PEDIATRICS

Laboratory Demographics

CLIA Number: 49D2125714

Facility Name: KINDER LIFE PEDIATRICS

Facility Address:
14631 LEE HWY, SUITE 413
CENTREVILLE, VA
ZIP 20121
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Facility Phone Number: 703 766-1716

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1538607254

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 49D2125714
LAB Type Physician Office
Facility Name KINDER LIFE PEDIATRICS
Street 14631 LEE HWY, SUITE 413
City CENTREVILLE
State VA
ZIP 20121
Phone 703 766-1716
CertificateType 4
CertificateEffectiveDate 2/13/2023
CertificateExpirationDate 2/12/2025
FacilityType Waiver

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