01D1026403 CLIA NUMBER - HENAGAR FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 01D1026403

Facility Name: HENAGAR FAMILY MEDICINE

Facility Address:
18324 ALABAMA HIGHWAY 75
HENAGAR, AL
ZIP 35978
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Facility Phone Number: 256 657-1101

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1740375732

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	01D1026403
LAB Type	Physician Office
Facility Name	HENAGAR FAMILY MEDICINE
Street	18324 ALABAMA HIGHWAY 75
City	HENAGAR
State	AL
ZIP	35978
Phone	256 657-1101
CertificateType	4
CertificateEffectiveDate	6/4/2022
CertificateExpirationDate	6/3/2024
FacilityType	Waiver

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