01D0985229 CLIA NUMBER - RIVERSIDE FAMILY MEDICINE PC

Laboratory Demographics

CLIA Number: 01D0985229

Facility Name: RIVERSIDE FAMILY MEDICINE PC

Facility Address:
4520 WATERMELON ROAD
NORTHPORT, AL
ZIP 35473
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Facility Phone Number: 205 752-7443

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1669445433

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	01D0985229
LAB Type	Physician Office
Facility Name	RIVERSIDE FAMILY MEDICINE PC
Street	4520 WATERMELON ROAD
City	NORTHPORT
State	AL
ZIP	35473
Phone	205 752-7443
CertificateType	4
CertificateEffectiveDate	6/29/2023
CertificateExpirationDate	6/28/2025
FacilityType	Waiver

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