28D1044760 CLIA NUMBER - ALLIANCE FAMILY MEDICINE LLC

Laboratory Demographics

CLIA Number: 28D1044760

Facility Name: ALLIANCE FAMILY MEDICINE LLC

Facility Address:
2091 BOX BUTTE AVE, STE 500
ALLIANCE, NE
ZIP 69301
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Facility Phone Number: 308 762-2534

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1194751776

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	28D1044760
LAB Type	Physician Office
Facility Name	ALLIANCE FAMILY MEDICINE LLC
Street	2091 BOX BUTTE AVE, STE 500
City	ALLIANCE
State	NE
ZIP	69301
Phone	308 762-2534
CertificateType	4
CertificateEffectiveDate	8/29/2023
CertificateExpirationDate	8/28/2025
FacilityType	Waiver

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