14D0918191 CLIA NUMBER - RURAL FAMILY MEDICINE ASSOCIATES

Laboratory Demographics

CLIA Number: 14D0918191

Facility Name: RURAL FAMILY MEDICINE ASSOCIATES

Facility Address:
251 MARKET PLACE DR, STE 100
FREEBURG, IL
ZIP 62243
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Facility Phone Number: 618 566-8810

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1366639759

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 14D0918191
LAB Type Physician Office
Facility Name RURAL FAMILY MEDICINE ASSOCIATES
Street 251 MARKET PLACE DR, STE 100
City FREEBURG
State IL
ZIP 62243
Phone 618 566-8810
CertificateType 3
CertificateEffectiveDate 8/2/2022
CertificateExpirationDate 8/1/2024
FacilityType PPMP

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