06D0516535 CLIA NUMBER - MARTIN MCDERMOTT MD PC

Laboratory Demographics

CLIA Number: 06D0516535

Facility Name: MARTIN MCDERMOTT MD PC

Facility Address:
327 N PARK AVE
FORT LUPTON, CO
ZIP 80621
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Facility Phone Number: 303 857-2711

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1699784181

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	06D0516535
LAB Type	Physician Office
Facility Name	MARTIN MCDERMOTT MD PC
Street	327 N PARK AVE
City	FORT LUPTON
State	CO
ZIP	80621
Phone	303 857-2711
CertificateType	2
CertificateEffectiveDate	3/3/2023
CertificateExpirationDate	3/2/2025
FacilityType	Compliance

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