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10D1054116 CLIA NUMBER - FAMILY CARE PARTNERS OF NORTHEAST FLORIDA, LLC

Laboratory Demographics

CLIA Number: 10D1054116

Facility Name: FAMILY CARE PARTNERS OF NORTHEAST FLORIDA, LLC

Facility Address:
4565 US HWY 17 - STE 106
FLEMING ISLAND, FL
ZIP 32003
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Facility Phone Number: 904 269-4559

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1629670369

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 10D1054116
LAB Type Physician Office
Facility Name FAMILY CARE PARTNERS OF NORTHEAST FLORIDA, LLC
Street 4565 US HWY 17 - STE 106
City FLEMING ISLAND
State FL
ZIP 32003
Phone 904 269-4559
CertificateType 4
CertificateEffectiveDate 5/12/2022
CertificateExpirationDate 5/11/2024
FacilityType Waiver

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