03D2278340 CLIA NUMBER - DOT FAMILY HEALTH CENTER

Laboratory Demographics

CLIA Number: 03D2278340

Facility Name: DOT FAMILY HEALTH CENTER

Facility Address:
2580 LANDON DR UNIT F
BULLHEAD CITY, AZ
ZIP 86429
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Facility Phone Number: 802 857-0400

Facility Type: Other - HEALTH CENTER

Certificate Type: Waiver

NPI Number: 1952027468

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	03D2278340
LAB Type	Other - HEALTH CENTER
Facility Name	DOT FAMILY HEALTH CENTER
Street	2580 LANDON DR UNIT F
City	BULLHEAD CITY
State	AZ
ZIP	86429
Phone	802 857-0400
CertificateType	4
CertificateEffectiveDate	3/15/2023
CertificateExpirationDate	3/14/2025
FacilityType	Waiver

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