45D0717793 CLIA NUMBER - MCBROOM CLINIC PA

Laboratory Demographics

CLIA Number: 45D0717793

Facility Name: MCBROOM CLINIC PA

Facility Address:
1253 N VON MINDEN
LA GRANGE, TX
ZIP 78945
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Facility Phone Number: 979 968-8493

Facility Type: Other

Certificate Type: Microscopy

NPI Number: 1114088093

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	45D0717793
LAB Type	Other
Facility Name	MCBROOM CLINIC PA
Street	1253 N VON MINDEN
City	LA GRANGE
State	TX
ZIP	78945
Phone	979 968-8493
CertificateType	3
CertificateEffectiveDate	1/10/2024
CertificateExpirationDate	1/9/2026
FacilityType	PPMP

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