34D0715294 CLIA NUMBER - OPEN WATER MEDICAL, PA

Laboratory Demographics

CLIA Number: 34D0715294

Facility Name: OPEN WATER MEDICAL, PA

Facility Address:
1620 C LIVE OAK STREET
BEAUFORT, NC
ZIP 28516
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Facility Phone Number: 252 728-5737

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1669852372

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	34D0715294
LAB Type	Physician Office
Facility Name	OPEN WATER MEDICAL, PA
Street	1620 C LIVE OAK STREET
City	BEAUFORT
State	NC
ZIP	28516
Phone	252 728-5737
CertificateType	3
CertificateEffectiveDate	5/23/2022
CertificateExpirationDate	5/22/2024
FacilityType	PPMP

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