05D2158784 CLIA NUMBER - FAMILY MEDICINE & AMBULATORY CARE CENTER INC

Laboratory Demographics

CLIA Number: 05D2158784

Facility Name: FAMILY MEDICINE & AMBULATORY CARE CENTER INC

Facility Address:
6600 MERCY COURT SUITE 100
FAIR OAKS, CA
ZIP 95628
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Facility Phone Number: 916 967-7285

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1023638814

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	05D2158784
LAB Type	Physician Office
Facility Name	FAMILY MEDICINE & AMBULATORY CARE CENTER INC
Street	6600 MERCY COURT SUITE 100
City	FAIR OAKS
State	CA
ZIP	95628
Phone	916 967-7285
CertificateType	4
CertificateEffectiveDate	12/6/2022
CertificateExpirationDate	12/5/2024
FacilityType	Waiver

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