05D0576925 CLIA NUMBER - PATHWAY MEDICAL GROUP INC

Laboratory Demographics

CLIA Number: 05D0576925

Facility Name: PATHWAY MEDICAL GROUP INC

Facility Address:
12462 BROOKHURST ST STE A&B
GARDEN GROVE, CA
ZIP 92840
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Facility Phone Number: (714) 636-9850

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1407802069

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	05D0576925
LAB Type	PHYSICIAN OFFICE
Facility Name	PATHWAY MEDICAL GROUP INC
Street	12462 BROOKHURST ST STE A&B
City	GARDEN GROVE
State	CA
ZIP	92840
Phone	(714) 636-9850

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This page was last updated on: 1/7/2022