36D0879839 CLIA NUMBER - FAMILY PRACTICE CENTER OF WADSWORTH

Laboratory Demographics

CLIA Number: 36D0879839

Facility Name: FAMILY PRACTICE CENTER OF WADSWORTH

Facility Address:
251 LEATHERMAN ROAD
WADSWORTH, OH
ZIP 44281
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Facility Phone Number: 330 899-9350

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1093840993

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	36D0879839
LAB Type	Physician Office
Facility Name	FAMILY PRACTICE CENTER OF WADSWORTH
Street	251 LEATHERMAN ROAD
City	WADSWORTH
State	OH
ZIP	44281
Phone	330 899-9350
CertificateType	3
CertificateEffectiveDate	11/15/2022
CertificateExpirationDate	11/14/2024
FacilityType	PPMP

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