45D0994126 CLIA NUMBER - JONATHAN D EDWARDS, MD

Laboratory Demographics

CLIA Number: 45D0994126

Facility Name: JONATHAN D EDWARDS, MD

Facility Address:
212 W CAYUGA DR
ATHENS, TX
ZIP 75751
Get Directions

Facility Phone Number: 903 675-5742

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1720097298

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	45D0994126
LAB Type	Physician Office
Facility Name	JONATHAN D EDWARDS, MD
Street	212 W CAYUGA DR
City	ATHENS
State	TX
ZIP	75751
Phone	903 675-5742
CertificateType	4
CertificateEffectiveDate	12/5/2023
CertificateExpirationDate	12/4/2025
FacilityType	Waiver

Download Record

Export to text format icon Download this CLIA NUMBER record in Text format: Export

Export to text format icon Download this CLIA NUMBER record in Excel (CSV) format: Export

Export to text format icon Download this CLIA NUMBER record in XML format: Export

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