10D2141256 CLIA NUMBER - BAILEY FAMILY CARE, INC

Laboratory Demographics

CLIA Number: 10D2141256

Facility Name: BAILEY FAMILY CARE, INC

Facility Address:
1839 HEALTH CARE DRIVE
TRINITY, FL
ZIP 34655
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Facility Phone Number: 727 239-2679

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1174049290

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	10D2141256
LAB Type	Physician Office
Facility Name	BAILEY FAMILY CARE, INC
Street	1839 HEALTH CARE DRIVE
City	TRINITY
State	FL
ZIP	34655
Phone	727 239-2679
CertificateType	4
CertificateEffectiveDate	12/11/2023
CertificateExpirationDate	12/10/2025
FacilityType	Waiver

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