42D2175781 CLIA NUMBER - URGENT CARE AND FAMILY MEDICINE CONWAY LLC

Laboratory Demographics

CLIA Number: 42D2175781

Facility Name: URGENT CARE AND FAMILY MEDICINE CONWAY LLC

Facility Address:
235 SINGLETON RIDGE ROAD, STE 103
CONWAY, SC
ZIP 29526
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Facility Phone Number: 478 233-1761

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1295386662

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	42D2175781
LAB Type	Physician Office
Facility Name	URGENT CARE AND FAMILY MEDICINE CONWAY LLC
Street	235 SINGLETON RIDGE ROAD, STE 103
City	CONWAY
State	SC
ZIP	29526
Phone	478 233-1761
CertificateType	4
CertificateEffectiveDate	12/2/2023
CertificateExpirationDate	12/1/2025
FacilityType	Waiver

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