20D0985451 CLIA NUMBER - HALLOWELL FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 20D0985451

Facility Name: HALLOWELL FAMILY PRACTICE

Facility Address:
9 UNION STREET FIRST FLOOR
HALLOWELL, ME
ZIP 04347
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Facility Phone Number: 207 626-0606

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1427145994

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	20D0985451
LAB Type	Physician Office
Facility Name	HALLOWELL FAMILY PRACTICE
Street	9 UNION STREET FIRST FLOOR
City	HALLOWELL
State	ME
ZIP	04347
Phone	207 626-0606
CertificateType	4
CertificateEffectiveDate	10/16/2022
CertificateExpirationDate	10/15/2024
FacilityType	Waiver

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