10D2219730 CLIA NUMBER - VERIMED HEALTH GROUP BROOKSVILLE

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Laboratory Demographics

CLIA Number: 10D2219730

Facility Name: VERIMED HEALTH GROUP BROOKSVILLE

Facility Address:
932 CANDLELIGHT BLVD
BROOKSVILLE, FL
ZIP 34601
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Facility Phone Number: 352 345-8185

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1194311407

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	10D2219730
LAB Type	Physician Office
Facility Name	VERIMED HEALTH GROUP BROOKSVILLE
Street	932 CANDLELIGHT BLVD
City	BROOKSVILLE
State	FL
ZIP	34601
Phone	352 345-8185
CertificateType	4
CertificateEffectiveDate	4/7/2023
CertificateExpirationDate	4/6/2025
FacilityType	Waiver

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