45D0989944 CLIA NUMBER - DARRYL D COLLINS MD PA

Laboratory Demographics

CLIA Number: 45D0989944

Facility Name: DARRYL D COLLINS MD PA

Facility Address:
213 A CEDAR
PORTLAND, TX
ZIP 78374
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Facility Phone Number: 361 777-2886

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1720107493

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	45D0989944
LAB Type	Physician Office
Facility Name	DARRYL D COLLINS MD PA
Street	213 A CEDAR
City	PORTLAND
State	TX
ZIP	78374
Phone	361 777-2886
CertificateType	4
CertificateEffectiveDate	8/9/2023
CertificateExpirationDate	8/8/2025
FacilityType	Waiver

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