36D2174231 CLIA NUMBER - ROMAN FAMILY HEALTHCARE

Laboratory Demographics

CLIA Number: 36D2174231

Facility Name: ROMAN FAMILY HEALTHCARE

Facility Address:
1440 STATE ROUTE 28 W
GREENFIELD, OH
ZIP 45123
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Facility Phone Number: 937 981-2880

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1821654674

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	36D2174231
LAB Type	Physician Office
Facility Name	ROMAN FAMILY HEALTHCARE
Street	1440 STATE ROUTE 28 W
City	GREENFIELD
State	OH
ZIP	45123
Phone	937 981-2880
CertificateType	4
CertificateEffectiveDate	10/29/2023
CertificateExpirationDate	10/28/2025
FacilityType	Waiver

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