05D2056350 CLIA NUMBER - Main Street Medical

Laboratory Demographics

CLIA Number: 05D2056350

Facility Name: Main Street Medical

Facility Address:
799 Main St Ste D,
Half Moon Bay, CA
ZIP 94019
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Facility Phone Number: (650) 726-1200

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1023488970

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 05D2056350
LAB Type PHYSICIAN OFFICE
Facility Name Main Street Medical
Street 799 Main St Ste D,
City Half Moon Bay
State CA
ZIP 94019
Phone 6507261200

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This page was last updated on: 5/19/2019