45D2003909 CLIA NUMBER - SUSAN C KING MD

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Laboratory Demographics

CLIA Number: 45D2003909

Facility Name: SUSAN C KING MD

Facility Address:
1907 CYPRESS CRK RD STE 104
CEDAR PARK, TX
ZIP 78613
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Facility Phone Number: 512 346-7966

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1669459327

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	45D2003909
LAB Type	Physician Office
Facility Name	SUSAN C KING MD
Street	1907 CYPRESS CRK RD STE 104
City	CEDAR PARK
State	TX
ZIP	78613
Phone	512 346-7966
CertificateType	4
CertificateEffectiveDate	2/22/2024
CertificateExpirationDate	2/21/2026
FacilityType	Waiver

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