14D0861603 CLIA NUMBER - SUMMIT FAMILY MEDICAL CENTER

Laboratory Demographics

CLIA Number: 14D0861603

Facility Name: SUMMIT FAMILY MEDICAL CENTER

Facility Address:
1015 S MERCER AVE
BLOOMINGTON, IL
ZIP 61701
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Facility Phone Number: (309) 662-6880

Facility Type: PHYSICIAN OFFICE

Certificate Type: Microscopy

NPI Number: 1174718050

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	14D0861603
LAB Type	PHYSICIAN OFFICE
Facility Name	SUMMIT FAMILY MEDICAL CENTER
Street	1015 S MERCER AVE
City	BLOOMINGTON
State	IL
ZIP	61701
Phone	(309) 662-6880

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This page was last updated on: 5/11/2023