22D2074212 CLIA NUMBER - FAMILY MEDICAL ASSOCIATES

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Laboratory Demographics

CLIA Number: 22D2074212

Facility Name: FAMILY MEDICAL ASSOCIATES

Facility Address:
194 CENTRAL AVENUE
SEEKONK, MA
ZIP 02771
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Facility Phone Number: 508 761-6785

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1982993846

Taxonomy: 207PE0004X - Emergency Medicine
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

CLIA Record

Field Name	Field Value
CLIA Number	22D2074212
LAB Type	Physician Office
Facility Name	FAMILY MEDICAL ASSOCIATES
Street	194 CENTRAL AVENUE
City	SEEKONK
State	MA
ZIP	02771
Phone	508 761-6785
CertificateType	4
CertificateEffectiveDate	3/4/2024
CertificateExpirationDate	3/3/2026
FacilityType	Waiver

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