01D2285705 CLIA NUMBER - SHOAL'S FAMILY PRACTICE/URGENT CARE, LLC

Laboratory Demographics

CLIA Number: 01D2285705

Facility Name: SHOAL'S FAMILY PRACTICE/URGENT CARE, LLC

Facility Address:
1110 E 6TH STREET, SUITE D
MUSCLE SHOALS, AL
ZIP 35661
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Facility Phone Number: 256 397-8842

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1922786706

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	01D2285705
LAB Type	Physician Office
Facility Name	SHOAL'S FAMILY PRACTICE/URGENT CARE, LLC
Street	1110 E 6TH STREET, SUITE D
City	MUSCLE SHOALS
State	AL
ZIP	35661
Phone	256 397-8842
CertificateType	4
CertificateEffectiveDate	7/17/2023
CertificateExpirationDate	7/16/2025
FacilityType	Waiver

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