36D1018331 CLIA NUMBER - DR BRADLEY C WILSON INC

Laboratory Demographics

CLIA Number: 36D1018331

Facility Name: DR BRADLEY C WILSON INC

Facility Address:
7756 STATE ROUTE 37 EAST
NEW LEXINGTON, OH
ZIP 43764
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Facility Phone Number: 740 342-3540

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1164577367

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	36D1018331
LAB Type	Physician Office
Facility Name	DR BRADLEY C WILSON INC
Street	7756 STATE ROUTE 37 EAST
City	NEW LEXINGTON
State	OH
ZIP	43764
Phone	740 342-3540
CertificateType	4
CertificateEffectiveDate	4/29/2023
CertificateExpirationDate	4/28/2025
FacilityType	Waiver

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