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10D1072825 CLIA NUMBER - CAPITAL REGIONAL MED GRP - SOUTHWOOD

Laboratory Demographics

CLIA Number: 10D1072825

Facility Name: CAPITAL REGIONAL MED GRP - SOUTHWOOD

Facility Address:
1910 HILLBROOK TRL STE 2
TALLAHASSEE, FL
ZIP 32311
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Facility Phone Number: 850 878-2637

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1437202645

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 10D1072825
LAB Type Physician Office
Facility Name CAPITAL REGIONAL MED GRP - SOUTHWOOD
Street 1910 HILLBROOK TRL STE 2
City TALLAHASSEE
State FL
ZIP 32311
Phone 850 878-2637
CertificateType 4
CertificateEffectiveDate 8/24/2023
CertificateExpirationDate 8/23/2025
FacilityType Waiver

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