01D0305143 CLIA NUMBER - OPP FAMILY MEDICINE PC

Laboratory Demographics

CLIA Number: 01D0305143

Facility Name: OPP FAMILY MEDICINE PC

Facility Address:
604 BRANTLEY ST
OPP, AL
ZIP 36467
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Facility Phone Number: 334 493-4472

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1891989117

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	01D0305143
LAB Type	Physician Office
Facility Name	OPP FAMILY MEDICINE PC
Street	604 BRANTLEY ST
City	OPP
State	AL
ZIP	36467
Phone	334 493-4472
CertificateType	3
CertificateEffectiveDate	9/16/2022
CertificateExpirationDate	9/15/2024
FacilityType	PPMP

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