11D2101655 CLIA NUMBER - PERSONAL TOUCH MEDICAL CENTER

Laboratory Demographics

CLIA Number: 11D2101655

Facility Name: PERSONAL TOUCH MEDICAL CENTER

Facility Address:
277 NORTHEAST BROAD ST
FAIRBURN, GA
ZIP 30213
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Facility Phone Number: 770 892-7802

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1275604308

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 11D2101655
LAB Type Physician Office
Facility Name PERSONAL TOUCH MEDICAL CENTER
Street 277 NORTHEAST BROAD ST
City FAIRBURN
State GA
ZIP 30213
Phone 770 892-7802
CertificateType 4
CertificateEffectiveDate 9/8/2023
CertificateExpirationDate 9/7/2025
FacilityType Waiver

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