43D0407296 CLIA NUMBER - BROWN CLINIC-MAIN

Laboratory Demographics

CLIA Number: 43D0407296

Facility Name: BROWN CLINIC-MAIN

Facility Address:
506 1ST AVE SOUTHEAST
WATERTOWN, SD
ZIP 57201
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Facility Phone Number: 605 882-7757

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1083779821

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	43D0407296
LAB Type	Physician Office
Facility Name	BROWN CLINIC-MAIN
Street	506 1ST AVE SOUTHEAST
City	WATERTOWN
State	SD
ZIP	57201
Phone	605 882-7757
CertificateType	4
CertificateEffectiveDate	10/7/2023
CertificateExpirationDate	10/6/2025
FacilityType	Waiver

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