30D1084788 CLIA NUMBER - TAMWORTH FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 30D1084788

Facility Name: TAMWORTH FAMILY MEDICINE

Facility Address:
577 WHITE MOUNTAIN HIGHWAY
TAMWORTH, NH
ZIP 03886
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Facility Phone Number: 603 323-3311

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1255587937

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	30D1084788
LAB Type	Physician Office
Facility Name	TAMWORTH FAMILY MEDICINE
Street	577 WHITE MOUNTAIN HIGHWAY
City	TAMWORTH
State	NH
ZIP	03886
Phone	603 323-3311
CertificateType	3
CertificateEffectiveDate	6/4/2022
CertificateExpirationDate	6/3/2024
FacilityType	PPMP

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