05D1073202 CLIA NUMBER - ABRHAM TEKOLA MD INC

Laboratory Demographics

CLIA Number: 05D1073202

Facility Name: ABRHAM TEKOLA MD INC

Facility Address:
5740 WINDMILL WAY SUITE #5
CARMICHAEL, CA
ZIP 95608
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Facility Phone Number: 916 480-0506

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1083705461

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	05D1073202
LAB Type	Physician Office
Facility Name	ABRHAM TEKOLA MD INC
Street	5740 WINDMILL WAY SUITE #5
City	CARMICHAEL
State	CA
ZIP	95608
Phone	916 480-0506
CertificateType	4
CertificateEffectiveDate	9/4/2023
CertificateExpirationDate	9/3/2025
FacilityType	Waiver

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