11D0856108 CLIA NUMBER - FAMILY HEALTH CARE CENTER PC

Laboratory Demographics

CLIA Number: 11D0856108

Facility Name: FAMILY HEALTH CARE CENTER PC

Facility Address:
23702 HIGHWAY 80 EAST
STATESBORO, GA
ZIP 30461
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Facility Phone Number: 912 489-4090

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1205855988

Taxonomy: 261Q00000X - Clinic/Center
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

CLIA Record

Field Name	Field Value
CLIA Number	11D0856108
LAB Type	Physician Office
Facility Name	FAMILY HEALTH CARE CENTER PC
Street	23702 HIGHWAY 80 EAST
City	STATESBORO
State	GA
ZIP	30461
Phone	912 489-4090
CertificateType	3
CertificateEffectiveDate	1/1/2023
CertificateExpirationDate	12/31/2024
FacilityType	PPMP

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