44D0309714 CLIA NUMBER - SEWANEE FAMILY PRACTICE

Laboratory Demographics

CLIA Number: 44D0309714

Facility Name: SEWANEE FAMILY PRACTICE

Facility Address:
1314 UNIVERSITY AVE
SEWANEE, TN
ZIP 37375
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Facility Phone Number: 931 598-5648

Facility Type: Physician Office

Certificate Type: Microscopy

NPI Number: 1063817625

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	44D0309714
LAB Type	Physician Office
Facility Name	SEWANEE FAMILY PRACTICE
Street	1314 UNIVERSITY AVE
City	SEWANEE
State	TN
ZIP	37375
Phone	931 598-5648
CertificateType	3
CertificateEffectiveDate	1/15/2023
CertificateExpirationDate	1/14/2025
FacilityType	PPMP

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