10D0895348 CLIA NUMBER - UF HEALTH FAMILY MEDICINE - OLD TOWN

Laboratory Demographics

CLIA Number: 10D0895348

Facility Name: UF HEALTH FAMILY MEDICINE - OLD TOWN

Facility Address:
25827 SE HIGHWAY 19
OLD TOWN, FL
ZIP 32680
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Facility Phone Number: 352 265-8067

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1629138292

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	10D0895348
LAB Type	Physician Office
Facility Name	UF HEALTH FAMILY MEDICINE - OLD TOWN
Street	25827 SE HIGHWAY 19
City	OLD TOWN
State	FL
ZIP	32680
Phone	352 265-8067
CertificateType	3
CertificateEffectiveDate	12/7/2022
CertificateExpirationDate	12/6/2024
FacilityType	PPMP

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