18D1060761 CLIA NUMBER - COLLINS FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 18D1060761

Facility Name: COLLINS FAMILY MEDICINE

Facility Address:
336 NORTH MAYO TRAIL
PAINTSVILLE, KY
ZIP 41240
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Facility Phone Number: 606 789-8666

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1720164445

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	18D1060761
LAB Type	Physician Office
Facility Name	COLLINS FAMILY MEDICINE
Street	336 NORTH MAYO TRAIL
City	PAINTSVILLE
State	KY
ZIP	41240
Phone	606 789-8666
CertificateType	4
CertificateEffectiveDate	10/31/2022
CertificateExpirationDate	10/30/2024
FacilityType	Waiver

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