10D2044059 CLIA NUMBER - PADALA FAMILY PRACTICE

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Laboratory Demographics

CLIA Number: 10D2044059

Facility Name: PADALA FAMILY PRACTICE

Facility Address:
2063 N LECANTO HWY #1 - SUNSHINE PLAZA
LECANTO, FL
ZIP 34461
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Facility Phone Number: 352 436-4428

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1447505227

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	10D2044059
LAB Type	Physician Office
Facility Name	PADALA FAMILY PRACTICE
Street	2063 N LECANTO HWY #1 - SUNSHINE PLAZA
City	LECANTO
State	FL
ZIP	34461
Phone	352 436-4428
CertificateType	4
CertificateEffectiveDate	7/17/2022
CertificateExpirationDate	7/16/2024
FacilityType	Waiver

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