45D0477913 CLIA NUMBER - SPARKS CLINIC

Laboratory Demographics

CLIA Number: 45D0477913

Facility Name: SPARKS CLINIC

Facility Address:
103 N FIRST STREET
ROCKWALL, TX
ZIP 75087
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Facility Phone Number: 972 771-5366

Facility Type: Physician Office

Certificate Type: Certificate of Compliance

NPI Number: 1841214467

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	45D0477913
LAB Type	Physician Office
Facility Name	SPARKS CLINIC
Street	103 N FIRST STREET
City	ROCKWALL
State	TX
ZIP	75087
Phone	972 771-5366
CertificateType	2
CertificateEffectiveDate	3/15/2023
CertificateExpirationDate	3/14/2025
FacilityType	Compliance

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