10D0956948 CLIA NUMBER - FAMILY CARE ASSOCIATES OF NORTHWEST FLORIDA

Laboratory Demographics

CLIA Number: 10D0956948

Facility Name: FAMILY CARE ASSOCIATES OF NORTHWEST FLORIDA

Facility Address:
925 CARLISLE RD
CHIPLEY, FL
ZIP 32428
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Facility Phone Number: 850 638-9399

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1629122148

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	10D0956948
LAB Type	Physician Office
Facility Name	FAMILY CARE ASSOCIATES OF NORTHWEST FLORIDA
Street	925 CARLISLE RD
City	CHIPLEY
State	FL
ZIP	32428
Phone	850 638-9399
CertificateType	3
CertificateEffectiveDate	2/9/2023
CertificateExpirationDate	2/8/2025
FacilityType	PPMP

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