14D0436719 CLIA NUMBER - EVAN T BELFER MD SC

Laboratory Demographics

CLIA Number: 14D0436719

Facility Name: EVAN T BELFER MD SC

Facility Address:
801 NORTH 14TH STREET
MURPHYSBORO, IL
ZIP 62966
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Facility Phone Number: 618 687-2319

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1689780876

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	14D0436719
LAB Type	Physician Office
Facility Name	EVAN T BELFER MD SC
Street	801 NORTH 14TH STREET
City	MURPHYSBORO
State	IL
ZIP	62966
Phone	618 687-2319
CertificateType	4
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	Waiver

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