45D1041812 CLIA NUMBER - EAKER FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 45D1041812

Facility Name: EAKER FAMILY MEDICINE

Facility Address:
301 JENNY GEORGE LN
SWEETWATER, TX
ZIP 79556
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Facility Phone Number: 325 235-1701

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1982773065

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	45D1041812
LAB Type	Physician Office
Facility Name	EAKER FAMILY MEDICINE
Street	301 JENNY GEORGE LN
City	SWEETWATER
State	TX
ZIP	79556
Phone	325 235-1701
CertificateType	4
CertificateEffectiveDate	6/13/2023
CertificateExpirationDate	6/12/2025
FacilityType	Waiver

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