25D0713726 CLIA NUMBER - LINCOLN ROAD FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 25D0713726

Facility Name: LINCOLN ROAD FAMILY MEDICINE

Facility Address:
4209 LINCOLN RD
HATTIESBURG, MS
ZIP 39402
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Facility Phone Number: 601 579-5400

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1588945273

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	25D0713726
LAB Type	Physician Office
Facility Name	LINCOLN ROAD FAMILY MEDICINE
Street	4209 LINCOLN RD
City	HATTIESBURG
State	MS
ZIP	39402
Phone	601 579-5400
CertificateType	2
CertificateEffectiveDate	11/9/2023
CertificateExpirationDate	11/8/2025
FacilityType	Compliance

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