01D0303723 CLIA NUMBER - LAKESIDE CLINIC LLC

Laboratory Demographics

CLIA Number: 01D0303723

Facility Name: LAKESIDE CLINIC LLC

Facility Address:
2337 HOMER CLAYTON DRIVE
GUNTERSVILLE, AL
ZIP 35976
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Facility Phone Number: (256) 582-5131

Facility Type: PHYSICIAN OFFICE

Certificate Type: Registration

NPI Number: 1477657823

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	01D0303723
LAB Type	PHYSICIAN OFFICE
Facility Name	LAKESIDE CLINIC LLC
Street	2337 HOMER CLAYTON DRIVE
City	GUNTERSVILLE
State	AL
ZIP	35976
Phone	(256) 582-5131

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This page was last updated on: 5/11/2023