01D2156974 CLIA NUMBER - PRICEVILLE PRIMARY CARE

Laboratory Demographics

CLIA Number: 01D2156974

Facility Name: PRICEVILLE PRIMARY CARE

Facility Address:
68 MARCO DRIVE SE
DECATUR, AL
ZIP 35603
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Facility Phone Number: 256 973-5650

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1407339328

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	01D2156974
LAB Type	Community Clinic
Facility Name	PRICEVILLE PRIMARY CARE
Street	68 MARCO DRIVE SE
City	DECATUR
State	AL
ZIP	35603
Phone	256 973-5650
CertificateType	4
CertificateEffectiveDate	10/29/2022
CertificateExpirationDate	10/28/2024
FacilityType	Waiver

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