01D0892688 CLIA NUMBER - KATHY SPARACINO MD

Laboratory Demographics

CLIA Number: 01D0892688

Facility Name: KATHY SPARACINO MD

Facility Address:
2828 HIGHWAY 31 SOUTH, SUITE 110
DECATUR, AL
ZIP 35603
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Facility Phone Number: 256 340-5150

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1255441705

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	01D0892688
LAB Type	Physician Office
Facility Name	KATHY SPARACINO MD
Street	2828 HIGHWAY 31 SOUTH, SUITE 110
City	DECATUR
State	AL
ZIP	35603
Phone	256 340-5150
CertificateType	4
CertificateEffectiveDate	10/4/2022
CertificateExpirationDate	10/3/2024
FacilityType	Waiver

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