24D0399245 CLIA NUMBER - ENTIRA FAMILY CLINICS EAST SIDE

Laboratory Demographics

CLIA Number: 24D0399245

Facility Name: ENTIRA FAMILY CLINICS EAST SIDE

Facility Address:
1385 PHALEN BLVD
SAINT PAUL, MN
ZIP 55106
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Facility Phone Number: 651 776-2719

Facility Type: Physician Office

Certificate Type: Accreditation

NPI Number: 1174703805

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	24D0399245
LAB Type	Physician Office
Facility Name	ENTIRA FAMILY CLINICS EAST SIDE
Street	1385 PHALEN BLVD
City	SAINT PAUL
State	MN
ZIP	55106
Phone	651 776-2719
CertificateType	1
CertificateEffectiveDate	11/11/2022
CertificateExpirationDate	11/10/2024
FacilityType	Accreditation

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