10D2047275 CLIA NUMBER - ACCESS MEDICAL GROUP OF OPA LOCKA INC DBA COMMUNITY MEDICAL GROUP

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Laboratory Demographics

CLIA Number: 10D2047275

Facility Name: ACCESS MEDICAL GROUP OF OPA LOCKA INC DBA COMMUNITY MEDICAL GROUP

Facility Address:
321 OPA LOCKA BLVD
OPA LOCKA, FL
ZIP 33054
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Facility Phone Number: 786 476-3333

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1790044287

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	10D2047275
LAB Type	Physician Office
Facility Name	ACCESS MEDICAL GROUP OF OPA LOCKA INC DBA COMMUNITY MEDICAL GROUP
Street	321 OPA LOCKA BLVD
City	OPA LOCKA
State	FL
ZIP	33054
Phone	786 476-3333
CertificateType	4
CertificateEffectiveDate	9/20/2022
CertificateExpirationDate	9/19/2024
FacilityType	Waiver

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