03D2288213 CLIA NUMBER - DAVIS WHOLE FAMILY HEALTH

Laboratory Demographics

CLIA Number: 03D2288213

Facility Name: DAVIS WHOLE FAMILY HEALTH

Facility Address:
150 N VERDE ST STE 101
FLAGSTAFF, AZ
ZIP 86001
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Facility Phone Number: 619 218-9490

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1275232654

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	03D2288213
LAB Type	Physician Office
Facility Name	DAVIS WHOLE FAMILY HEALTH
Street	150 N VERDE ST STE 101
City	FLAGSTAFF
State	AZ
ZIP	86001
Phone	619 218-9490
CertificateType	4
CertificateEffectiveDate	8/23/2023
CertificateExpirationDate	8/22/2025
FacilityType	Waiver

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