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05D2069791 CLIA NUMBER - CAPITOL INTERNAL MEDICINE ASSOCIATES

Laboratory Demographics

CLIA Number: 05D2069791

Facility Name: CAPITOL INTERNAL MEDICINE ASSOCIATES

Facility Address:
6620 COYLE AVENUE #302
CARMICHAEL, CA
ZIP 95608
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Facility Phone Number: 916 966-8500

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1508899758

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 05D2069791
LAB Type Physician Office
Facility Name CAPITOL INTERNAL MEDICINE ASSOCIATES
Street 6620 COYLE AVENUE #302
City CARMICHAEL
State CA
ZIP 95608
Phone 916 966-8500
CertificateType 4
CertificateEffectiveDate 12/3/2023
CertificateExpirationDate 12/2/2025
FacilityType Waiver

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