01D0302960 CLIA NUMBER - CREEKSIDE FAMILY PRACTICE PC

Laboratory Demographics

CLIA Number: 01D0302960

Facility Name: CREEKSIDE FAMILY PRACTICE PC

Facility Address:
810 FRANKLIN STREET SUITE B
HUNTSVILLE, AL
ZIP 35801
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Facility Phone Number: 256 551-6503

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1801097597

Taxonomy: 207Q00000X - Family Medicine
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CLIA Record

Field Name	Field Value
CLIA Number	01D0302960
LAB Type	Physician Office
Facility Name	CREEKSIDE FAMILY PRACTICE PC
Street	810 FRANKLIN STREET SUITE B
City	HUNTSVILLE
State	AL
ZIP	35801
Phone	256 551-6503
CertificateType	1
CertificateEffectiveDate	12/23/2023
CertificateExpirationDate	12/22/2025
FacilityType	Accreditation

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