11D1029454 CLIA NUMBER - FAMILY SPECIALTY CARE, LLC

Laboratory Demographics

CLIA Number: 11D1029454

Facility Name: FAMILY SPECIALTY CARE, LLC

Facility Address:
4310 HARTLEY BRIDGE ROAD, SUITE A
MACON, GA
ZIP 31216
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Facility Phone Number: 478 788-4007

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1144432048

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	11D1029454
LAB Type	Physician Office
Facility Name	FAMILY SPECIALTY CARE, LLC
Street	4310 HARTLEY BRIDGE ROAD, SUITE A
City	MACON
State	GA
ZIP	31216
Phone	478 788-4007
CertificateType	2
CertificateEffectiveDate	12/7/2022
CertificateExpirationDate	12/6/2024
FacilityType	Compliance

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