17D2267082 CLIA NUMBER - RE NU MEDICAL & SPA

Laboratory Demographics

CLIA Number: 17D2267082

Facility Name: RE NU MEDICAL & SPA

Facility Address:
2425 BRADSHAW WAY
PITTSBURG, KS
ZIP 66762
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Facility Phone Number: 620 308-6123

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1881050995

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	17D2267082
LAB Type	Physician Office
Facility Name	RE NU MEDICAL & SPA
Street	2425 BRADSHAW WAY
City	PITTSBURG
State	KS
ZIP	66762
Phone	620 308-6123
CertificateType	4
CertificateEffectiveDate	8/19/2022
CertificateExpirationDate	8/18/2024
FacilityType	Waiver

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