11D2149511 CLIA NUMBER - SABRINA LANCASTER, NP - C, INC DBA MANCHESTER FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 11D2149511

Facility Name: SABRINA LANCASTER, NP - C, INC DBA MANCHESTER FAMILY MEDICINE

Facility Address:
410 5TH AVENUE, NORTH, SUITE A
MANCHESTER, GA
ZIP 31816
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Facility Phone Number: 706 846-1202

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1245882117

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 11D2149511
LAB Type Physician Office
Facility Name SABRINA LANCASTER, NP - C, INC DBA MANCHESTER FAMILY MEDICINE
Street 410 5TH AVENUE, NORTH, SUITE A
City MANCHESTER
State GA
ZIP 31816
Phone 706 846-1202
CertificateType 4
CertificateEffectiveDate 6/5/2022
CertificateExpirationDate 6/4/2024
FacilityType Waiver

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