39D2101722 CLIA NUMBER - PENN HIGHLANDS DUBOIS Q CARE

Laboratory Demographics

CLIA Number: 39D2101722

Facility Name: PENN HIGHLANDS DUBOIS Q CARE

Facility Address:
621 S MAIN STREET
DU BOIS, PA
ZIP 15801
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Facility Phone Number: 814 375-3230

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1144231390

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	39D2101722
LAB Type	Physician Office
Facility Name	PENN HIGHLANDS DUBOIS Q CARE
Street	621 S MAIN STREET
City	DU BOIS
State	PA
ZIP	15801
Phone	814 375-3230
CertificateType	4
CertificateEffectiveDate	9/9/2023
CertificateExpirationDate	9/8/2025
FacilityType	Waiver

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