49D2132406 CLIA NUMBER - COMPASSIONATE CARE PEDIATRICS, LLC

Laboratory Demographics

CLIA Number: 49D2132406

Facility Name: COMPASSIONATE CARE PEDIATRICS, LLC

Facility Address:
315 HOSPITAL DRIVE - SUITE 101
MARTINSVILLE, VA
ZIP 24112
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Facility Phone Number: 276 403-4733

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1154860310

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 49D2132406
LAB Type Physician Office
Facility Name COMPASSIONATE CARE PEDIATRICS, LLC
Street 315 HOSPITAL DRIVE - SUITE 101
City MARTINSVILLE
State VA
ZIP 24112
Phone 276 403-4733
CertificateType 4
CertificateEffectiveDate 6/19/2023
CertificateExpirationDate 6/18/2025
FacilityType Waiver

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