01D0887485 CLIA NUMBER - EASTSIDE FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 01D0887485

Facility Name: EASTSIDE FAMILY MEDICINE

Facility Address:
22289 MEDICAL VILLAGE DRIVE
ATHENS, AL
ZIP 35613
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Facility Phone Number: 256 232-1414

Facility Type: Community Clinic

Certificate Type: Microscopy

NPI Number: 1962946970

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	01D0887485
LAB Type	Community Clinic
Facility Name	EASTSIDE FAMILY MEDICINE
Street	22289 MEDICAL VILLAGE DRIVE
City	ATHENS
State	AL
ZIP	35613
Phone	256 232-1414
CertificateType	3
CertificateEffectiveDate	2/20/2024
CertificateExpirationDate	2/19/2026
FacilityType	PPMP

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