11D2071927 CLIA NUMBER - GARRETT FAMILY MEDICINE

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Laboratory Demographics

CLIA Number: 11D2071927

Facility Name: GARRETT FAMILY MEDICINE

Facility Address:
225 ADAMS DRIVE, SUITE A
DEMOREST, GA
ZIP 30535
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Facility Phone Number: 706 754-2155

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1538580576

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	11D2071927
LAB Type	Physician Office
Facility Name	GARRETT FAMILY MEDICINE
Street	225 ADAMS DRIVE, SUITE A
City	DEMOREST
State	GA
ZIP	30535
Phone	706 754-2155
CertificateType	4
CertificateEffectiveDate	1/22/2024
CertificateExpirationDate	1/21/2026
FacilityType	Waiver

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