11D0266689 CLIA NUMBER - MEDCARE

Laboratory Demographics

CLIA Number: 11D0266689

Facility Name: MEDCARE

Facility Address:
5612 WHITESVILLE RD
COLUMBUS, GA
ZIP 31904
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Facility Phone Number: 706 322-2223

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1508085135

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	11D0266689
LAB Type	Physician Office
Facility Name	MEDCARE
Street	5612 WHITESVILLE RD
City	COLUMBUS
State	GA
ZIP	31904
Phone	706 322-2223
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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