10D0954272 CLIA NUMBER - DONALD E GRABOVE MD PA

Laboratory Demographics

CLIA Number: 10D0954272

Facility Name: DONALD E GRABOVE MD PA

Facility Address:
3601 SW 2ND AVENUE SUITE Q
GAINESVILLE, FL
ZIP 32607
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Facility Phone Number: 352 367-0100

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1730187139

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	10D0954272
LAB Type	Physician Office
Facility Name	DONALD E GRABOVE MD PA
Street	3601 SW 2ND AVENUE SUITE Q
City	GAINESVILLE
State	FL
ZIP	32607
Phone	352 367-0100
CertificateType	4
CertificateEffectiveDate	11/23/2022
CertificateExpirationDate	11/22/2024
FacilityType	Waiver

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