11D0262084 CLIA NUMBER - HARTWELL FAMILY PRACTICE PC

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Laboratory Demographics

CLIA Number: 11D0262084

Facility Name: HARTWELL FAMILY PRACTICE PC

Facility Address:
229 ATHENS STREET
HARTWELL, GA
ZIP 30643
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Facility Phone Number: 706 376-3957

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1306047113

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	11D0262084
LAB Type	Physician Office
Facility Name	HARTWELL FAMILY PRACTICE PC
Street	229 ATHENS STREET
City	HARTWELL
State	GA
ZIP	30643
Phone	706 376-3957
CertificateType	3
CertificateEffectiveDate	5/12/2024
CertificateExpirationDate	5/11/2026
FacilityType	PPMP

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