42D0253234 CLIA NUMBER - FAIRVIEW FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 42D0253234

Facility Name: FAIRVIEW FAMILY PRACTICE

Facility Address:
103 FAIRVIEW POINTE DR
SIMPSONVILLE, SC
ZIP 29681
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Facility Phone Number: 864 967-4982

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1083645584

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	42D0253234
LAB Type	Physician Office
Facility Name	FAIRVIEW FAMILY PRACTICE
Street	103 FAIRVIEW POINTE DR
City	SIMPSONVILLE
State	SC
ZIP	29681
Phone	864 967-4982
CertificateType	3
CertificateEffectiveDate	12/1/2022
CertificateExpirationDate	11/30/2024
FacilityType	PPMP

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