34D0239785 CLIA NUMBER - FUQUAY VARINA FAMILY PA

Laboratory Demographics

CLIA Number: 34D0239785

Facility Name: FUQUAY VARINA FAMILY PA

Facility Address:
431 N JUDD PARKWAY NE
FUQUAY VARINA, NC
ZIP 27526
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Facility Phone Number: 919 552-2292

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1295711513

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	34D0239785
LAB Type	Physician Office
Facility Name	FUQUAY VARINA FAMILY PA
Street	431 N JUDD PARKWAY NE
City	FUQUAY VARINA
State	NC
ZIP	27526
Phone	919 552-2292
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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