01D1051758 CLIA NUMBER - NORTH RIVER PRIMARY CARE ASSOCIATES

Laboratory Demographics

CLIA Number: 01D1051758

Facility Name: NORTH RIVER PRIMARY CARE ASSOCIATES

Facility Address:
4310 WATERMELON ROAD
NORTH PORT, AL
ZIP 35473
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Facility Phone Number: 205 330-5266

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1336474964

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	01D1051758
LAB Type	Physician Office
Facility Name	NORTH RIVER PRIMARY CARE ASSOCIATES
Street	4310 WATERMELON ROAD
City	NORTH PORT
State	AL
ZIP	35473
Phone	205 330-5266
CertificateType	4
CertificateEffectiveDate	6/1/2022
CertificateExpirationDate	5/31/2024
FacilityType	Waiver

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