45D2003121 CLIA NUMBER - JACINTO MEDICAL GROUP, PA

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Laboratory Demographics

CLIA Number: 45D2003121

Facility Name: JACINTO MEDICAL GROUP, PA

Facility Address:
2800 GARTH ROAD
BAYTOWN, TX
ZIP 77521
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Facility Phone Number: 281 425-3844

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1265474597

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	45D2003121
LAB Type	Physician Office
Facility Name	JACINTO MEDICAL GROUP, PA
Street	2800 GARTH ROAD
City	BAYTOWN
State	TX
ZIP	77521
Phone	281 425-3844
CertificateType	4
CertificateEffectiveDate	2/2/2024
CertificateExpirationDate	2/1/2026
FacilityType	Waiver

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