39D0662649 CLIA NUMBER - GUTHRIE MEDICAL GROUP - MANSFIELD UNIV

Laboratory Demographics

CLIA Number: 39D0662649

Facility Name: GUTHRIE MEDICAL GROUP - MANSFIELD UNIV

Facility Address:
M U WELLNESS CENTER, SPRUCE HALL 125 CLINTON STREET
MANSFIELD, PA
ZIP 16933
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Facility Phone Number: 717 662-4350

Facility Type: Practitioner Other

Certificate Type: Microscopy

NPI Number: 1538118732

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	39D0662649
LAB Type	Practitioner Other
Facility Name	GUTHRIE MEDICAL GROUP - MANSFIELD UNIV
Street	M U WELLNESS CENTER, SPRUCE HALL 125 CLINTON STREET
City	MANSFIELD
State	PA
ZIP	16933
Phone	717 662-4350
CertificateType	3
CertificateEffectiveDate	9/1/2022
CertificateExpirationDate	8/31/2024
FacilityType	PPMP

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