23D2236645 CLIA NUMBER - TRUST FAMILY CARE CENTER, PLLC

Laboratory Demographics

CLIA Number: 23D2236645

Facility Name: TRUST FAMILY CARE CENTER, PLLC

Facility Address:
9421 JOSEPH CAMPAU
HAMTRAMCK, MI
ZIP 48212
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Facility Phone Number: 313 462-4960

Facility Type: Community Clinic

Certificate Type: Waiver

NPI Number: 1174196281

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	23D2236645
LAB Type	Community Clinic
Facility Name	TRUST FAMILY CARE CENTER, PLLC
Street	9421 JOSEPH CAMPAU
City	HAMTRAMCK
State	MI
ZIP	48212
Phone	313 462-4960
CertificateType	4
CertificateEffectiveDate	9/20/2023
CertificateExpirationDate	9/19/2025
FacilityType	Waiver

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