05D0610189 CLIA NUMBER - MFA LIFETIME HEALTH CARE

Laboratory Demographics

CLIA Number: 05D0610189

Facility Name: MFA LIFETIME HEALTH CARE

Facility Address:
374 W OLIVE AVENUE SUITE B
MERCED, CA
ZIP 95348
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Facility Phone Number: 209 383-3076

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1619176245

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 05D0610189
LAB Type Physician Office
Facility Name MFA LIFETIME HEALTH CARE
Street 374 W OLIVE AVENUE SUITE B
City MERCED
State CA
ZIP 95348
Phone 209 383-3076
CertificateType 3
CertificateEffectiveDate 7/21/2023
CertificateExpirationDate 7/20/2025
FacilityType PPMP

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