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11D0266730 CLIA NUMBER - ST FRANCIS COLUMBUS CLINIC, A DEPARTMENT OF ST FRANCIS HOSPITAL

Laboratory Demographics

CLIA Number: 11D0266730

Facility Name: ST FRANCIS COLUMBUS CLINIC, A DEPARTMENT OF ST FRANCIS HOSPITAL

Facility Address:
610 19TH STREET
COLUMBUS, GA
ZIP 31901
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Facility Phone Number: 706 322-7884

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1295159143

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 11D0266730
LAB Type Physician Office
Facility Name ST FRANCIS COLUMBUS CLINIC, A DEPARTMENT OF ST FRANCIS HOSPITAL
Street 610 19TH STREET
City COLUMBUS
State GA
ZIP 31901
Phone 706 322-7884
CertificateType 4
CertificateEffectiveDate 1/31/2024
CertificateExpirationDate 1/30/2026
FacilityType Waiver

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