11D2283159 CLIA NUMBER - GABRIEL PRIMARY CARE

Laboratory Demographics

CLIA Number: 11D2283159

Facility Name: GABRIEL PRIMARY CARE

Facility Address:
101 GATEWAY DRIVE
MACON, GA
ZIP 31210
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Facility Phone Number: 478 370-8296

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1982306718

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	11D2283159
LAB Type	Physician Office
Facility Name	GABRIEL PRIMARY CARE
Street	101 GATEWAY DRIVE
City	MACON
State	GA
ZIP	31210
Phone	478 370-8296
CertificateType	4
CertificateEffectiveDate	6/2/2023
CertificateExpirationDate	6/1/2025
FacilityType	Waiver

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