33D2063296 CLIA NUMBER - HOME MEDICAL OFFICE, PC

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Laboratory Demographics

CLIA Number: 33D2063296

Facility Name: HOME MEDICAL OFFICE, PC

Facility Address:
18 ORCHARD STREET, SUITE 100
MIDDLETOWN, NY
ZIP 10940
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Facility Phone Number: 845 467-4735

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1174965412

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	33D2063296
LAB Type	Physician Office
Facility Name	HOME MEDICAL OFFICE, PC
Street	18 ORCHARD STREET, SUITE 100
City	MIDDLETOWN
State	NY
ZIP	10940
Phone	845 467-4735
CertificateType	4
CertificateEffectiveDate	7/31/2023
CertificateExpirationDate	7/30/2025
FacilityType	Waiver

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