25D0671780 CLIA NUMBER - CREEKMORE CLINIC

Laboratory Demographics

CLIA Number: 25D0671780

Facility Name: CREEKMORE CLINIC

Facility Address:
216 OXFORD ROAD
NEW ALBANY, MS
ZIP 38652
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Facility Phone Number: 662 534-9042

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1073631164

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	25D0671780
LAB Type	Physician Office
Facility Name	CREEKMORE CLINIC
Street	216 OXFORD ROAD
City	NEW ALBANY
State	MS
ZIP	38652
Phone	662 534-9042
CertificateType	2
CertificateEffectiveDate	10/20/2022
CertificateExpirationDate	10/19/2024
FacilityType	Compliance

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