05D0585197 CLIA NUMBER - SAN JOAQUIN PRIME CARE MEDICAL CORP

Laboratory Demographics

CLIA Number: 05D0585197

Facility Name: SAN JOAQUIN PRIME CARE MEDICAL CORP

Facility Address:
682 E VISALIA RD
FARMERSVILLE, CA
ZIP 93223
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Facility Phone Number: (209) 594-4564

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1487848131

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 05D0585197
LAB Type PHYSICIAN OFFICE
Facility Name SAN JOAQUIN PRIME CARE MEDICAL CORP
Street 682 E VISALIA RD
City FARMERSVILLE
State CA
ZIP 93223
Phone (209) 594-4564

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