06D0674403 CLIA NUMBER - MESA FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 06D0674403

Facility Name: MESA FAMILY PRACTICE

Facility Address:
2231 NORTH 7TH STREET
GRAND JCT, CO
ZIP 81501
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Facility Phone Number: 970 243-1331

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1255560454

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	06D0674403
LAB Type	Physician Office
Facility Name	MESA FAMILY PRACTICE
Street	2231 NORTH 7TH STREET
City	GRAND JCT
State	CO
ZIP	81501
Phone	970 243-1331
CertificateType	3
CertificateEffectiveDate	5/22/2022
CertificateExpirationDate	5/21/2024
FacilityType	PPMP

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