34D0997505 CLIA NUMBER - CROSSROADS FAMILY MEDICAL CARE PLLC

Laboratory Demographics

CLIA Number: 34D0997505

Facility Name: CROSSROADS FAMILY MEDICAL CARE PLLC

Facility Address:
3121 PLATEAU RD
NEWTON, NC
ZIP 28658
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Facility Phone Number: 704 276-9200

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1063692515

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	34D0997505
LAB Type	Physician Office
Facility Name	CROSSROADS FAMILY MEDICAL CARE PLLC
Street	3121 PLATEAU RD
City	NEWTON
State	NC
ZIP	28658
Phone	704 276-9200
CertificateType	4
CertificateEffectiveDate	11/4/2022
CertificateExpirationDate	11/3/2024
FacilityType	Waiver

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