24D0406024 CLIA NUMBER - COMMUNITY MEDICAL CENTER

Laboratory Demographics

CLIA Number: 24D0406024

Facility Name: COMMUNITY MEDICAL CENTER

Facility Address:
200 FIRST AVE SOUTH
PIERZ, MN
ZIP 56364
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Facility Phone Number: 320 468-2536

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1952530669

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	24D0406024
LAB Type	Physician Office
Facility Name	COMMUNITY MEDICAL CENTER
Street	200 FIRST AVE SOUTH
City	PIERZ
State	MN
ZIP	56364
Phone	320 468-2536
CertificateType	4
CertificateEffectiveDate	4/5/2023
CertificateExpirationDate	4/4/2025
FacilityType	Waiver

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