36D1005058 CLIA NUMBER - HEALTHLINK FAMILY PRACTICE AND SPORTS

Laboratory Demographics

CLIA Number: 36D1005058

Facility Name: HEALTHLINK FAMILY PRACTICE AND SPORTS

Facility Address:
6860 TYLERSVILLE ROAD SUITE 12
MASON, OH
ZIP 45040
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Facility Phone Number: 513 701-5510

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1750363164

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	36D1005058
LAB Type	Physician Office
Facility Name	HEALTHLINK FAMILY PRACTICE AND SPORTS
Street	6860 TYLERSVILLE ROAD SUITE 12
City	MASON
State	OH
ZIP	45040
Phone	513 701-5510
CertificateType	3
CertificateEffectiveDate	10/15/2022
CertificateExpirationDate	10/14/2024
FacilityType	PPMP

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