16D0955320 CLIA NUMBER - ST ANTHONY CLINIC CARROLL

Laboratory Demographics

CLIA Number: 16D0955320

Facility Name: ST ANTHONY CLINIC CARROLL

Facility Address:
405 SOUTH CLARK STREET, SUITE 100
CARROLL, IA
ZIP 51401
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Facility Phone Number: 712 792-2222

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1801815972

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	16D0955320
LAB Type	Physician Office
Facility Name	ST ANTHONY CLINIC CARROLL
Street	405 SOUTH CLARK STREET, SUITE 100
City	CARROLL
State	IA
ZIP	51401
Phone	712 792-2222
CertificateType	4
CertificateEffectiveDate	4/6/2023
CertificateExpirationDate	4/5/2025
FacilityType	Waiver

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