11D2224716 CLIA NUMBER - QUALITY PRIMARY CARE, LLC

Laboratory Demographics

CLIA Number: 11D2224716

Facility Name: QUALITY PRIMARY CARE, LLC

Facility Address:
1175 MITCHELL BRIDGE ROAD
ATHENS, GA
ZIP 30606
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Facility Phone Number: 706 534-4637

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1124613815

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	11D2224716
LAB Type	Practitioner Other
Facility Name	QUALITY PRIMARY CARE, LLC
Street	1175 MITCHELL BRIDGE ROAD
City	ATHENS
State	GA
ZIP	30606
Phone	706 534-4637
CertificateType	4
CertificateEffectiveDate	5/14/2023
CertificateExpirationDate	5/13/2025
FacilityType	Waiver

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