34D0859406 CLIA NUMBER - MED FIRST IMMEDIATE CARE AND FAMILY PRACTICE, PA

Laboratory Demographics

CLIA Number: 34D0859406

Facility Name: MED FIRST IMMEDIATE CARE AND FAMILY PRACTICE, PA

Facility Address:
707 LASSISTER STREET
SMITHFIELD, NC
ZIP 27577
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Facility Phone Number: 919 912-5160

Facility Type: Independent

Certificate Type: Waiver

NPI Number: 1629007398

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	34D0859406
LAB Type	Independent
Facility Name	MED FIRST IMMEDIATE CARE AND FAMILY PRACTICE, PA
Street	707 LASSISTER STREET
City	SMITHFIELD
State	NC
ZIP	27577
Phone	919 912-5160
CertificateType	4
CertificateEffectiveDate	5/30/2022
CertificateExpirationDate	5/29/2024
FacilityType	Waiver

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