11D0946237 CLIA NUMBER - ATHENS FAMILY MEDICINE, LLC

Laboratory Demographics

CLIA Number: 11D0946237

Facility Name: ATHENS FAMILY MEDICINE, LLC

Facility Address:
892 PRINCE AVE
ATHENS, GA
ZIP 30606
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Facility Phone Number: 561 353-1225

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1386676211

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	11D0946237
LAB Type	Physician Office
Facility Name	ATHENS FAMILY MEDICINE, LLC
Street	892 PRINCE AVE
City	ATHENS
State	GA
ZIP	30606
Phone	561 353-1225
CertificateType	4
CertificateEffectiveDate	12/18/2023
CertificateExpirationDate	12/17/2025
FacilityType	Waiver

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