45D0913943 CLIA NUMBER - UGARTE FAMILY MEDICAL CLINIC PA

Laboratory Demographics

CLIA Number: 45D0913943

Facility Name: UGARTE FAMILY MEDICAL CLINIC PA

Facility Address:
1311 E GEN CAVAZ0S BLVD SUITE L
KINGSVILLE, TX
ZIP 78363
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Facility Phone Number: 361 595-9567

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1437317294

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	45D0913943
LAB Type	Physician Office
Facility Name	UGARTE FAMILY MEDICAL CLINIC PA
Street	1311 E GEN CAVAZ0S BLVD SUITE L
City	KINGSVILLE
State	TX
ZIP	78363
Phone	361 595-9567
CertificateType	4
CertificateEffectiveDate	9/15/2022
CertificateExpirationDate	9/14/2024
FacilityType	Waiver

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