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26D0446732 CLIA NUMBER - BOTHWELL LINCOLN FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 26D0446732

Facility Name: BOTHWELL LINCOLN FAMILY MEDICINE

Facility Address:
302 HWY 65
LINCOLN, MO
ZIP 65338
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Facility Phone Number: 660 547-3019

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1568524635

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 26D0446732
LAB Type Physician Office
Facility Name BOTHWELL LINCOLN FAMILY MEDICINE
Street 302 HWY 65
City LINCOLN
State MO
ZIP 65338
Phone 660 547-3019
CertificateType 4
CertificateEffectiveDate 11/29/2023
CertificateExpirationDate 11/28/2025
FacilityType Waiver

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