33D0897152 CLIA NUMBER - FAIRMOUNT FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 33D0897152

Facility Name: FAIRMOUNT FAMILY MEDICINE

Facility Address:
436 HINSDALE ROAD
CAMILLUS, NY
ZIP 13031
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Facility Phone Number: 315 488-0996

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1659491421

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	33D0897152
LAB Type	Physician Office
Facility Name	FAIRMOUNT FAMILY MEDICINE
Street	436 HINSDALE ROAD
City	CAMILLUS
State	NY
ZIP	13031
Phone	315 488-0996
CertificateType	4
CertificateEffectiveDate	6/9/2016
CertificateExpirationDate	3/26/2027
FacilityType	Waiver

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