23D2057799 CLIA NUMBER - FAMILY MEDICINE RESIDENCY CENTER

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Laboratory Demographics

CLIA Number: 23D2057799

Facility Name: FAMILY MEDICINE RESIDENCY CENTER

Facility Address:
650 STEWART ROAD
MONROE, MI
ZIP 48162
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Facility Phone Number: 734 240-8430

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1659614022

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	23D2057799
LAB Type	Physician Office
Facility Name	FAMILY MEDICINE RESIDENCY CENTER
Street	650 STEWART ROAD
City	MONROE
State	MI
ZIP	48162
Phone	734 240-8430
CertificateType	4
CertificateEffectiveDate	7/1/2023
CertificateExpirationDate	6/30/2025
FacilityType	Waiver

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