03D1035092 CLIA NUMBER - GILBERT FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 03D1035092

Facility Name: GILBERT FAMILY MEDICINE

Facility Address:
1760 E BOSTON ST #101
GILBERT, AZ
ZIP 85295
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Facility Phone Number: 480 355-8180

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1326235391

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	03D1035092
LAB Type	Physician Office
Facility Name	GILBERT FAMILY MEDICINE
Street	1760 E BOSTON ST #101
City	GILBERT
State	AZ
ZIP	85295
Phone	480 355-8180
CertificateType	3
CertificateEffectiveDate	12/21/2022
CertificateExpirationDate	12/20/2024
FacilityType	PPMP

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