39D1066602 CLIA NUMBER - BARON FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 39D1066602

Facility Name: BARON FAMILY PRACTICE

Facility Address:
80 DOE RUN ROAD
MANHEIM, PA
ZIP 17545
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Facility Phone Number: 717 664-0952

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1720463060

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	39D1066602
LAB Type	Physician Office
Facility Name	BARON FAMILY PRACTICE
Street	80 DOE RUN ROAD
City	MANHEIM
State	PA
ZIP	17545
Phone	717 664-0952
CertificateType	4
CertificateEffectiveDate	3/28/2023
CertificateExpirationDate	3/27/2025
FacilityType	Waiver

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